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Epilepsy .PCOL.Final
| Question | Answer |
|---|---|
| What are the classifications of seizures? | Focal: Focal aware (simple partial) Focal w/ impaired awareness (complex partial) Focal to bilateral tonic-clonic Generalized: Absence seizure (petit mal) myoclonic seizures Tonic clonic seizures (Grand mal) |
| What is typically the cause of focal seizures? | cortical lesion |
| What is typically the cause of generalized seizures? | genetic factors |
| List some seizure disorders that are a result of genetic factors: | Infantile spasms Dravet Syndrome Lennox-Gastaut syndrome |
| What are the four major classes of antiseizure drugs? | 1. modulators of voltage-gated cation channels (Na, Ca, K) 2. modulators of GABA neurotransmission 3. Modulators of neurotransmitter release 4. Decrease glutamatergic neurotransmission |
| List the drugs that enhance Na+ channel inactivation? (7) | lamotrigine phenytoin topiramate lacosamide zonisamide carbamazepine valproate |
| What are the SE of phenytoin? | decrease contraceptive efficacy (CYP3A4 inducer) metabolized via CYP2C9 = saturated easily = toxicity SE: arrhythmias , coma, ataxia |
| What is phenytoin indicated for:? | focal and tonic-clonic seizures |