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Epilepsy by VanNess

Define seizure. paroxysmal event due to abnormal, excessive, hypersynchronous discharges from aggregates of CNS neurons
epilepsy condition of recurrent seizures due to chronic underlying process
epilepsy syndrome group of clinical and/or pathologic characteristics that are distinctive and suggest a specific etiology
cryptogenic seizures seizures presumed to be happening but without proof
idiopathic seizures no obvious pathology or structural brain disorder behind seizure disorder
List 3 special populations at higher risk for epilepsy. minorities, those with MR, CP, disabilities, Alzheimer's, post-stroke, children of those with epilepsy
single most important test for evaluation of epilepsy EEG with MRI being a close 2nd
Classification of seizures and epilepsies is essential for: (3 reasons) in order to focus dx on particular etiology, to select appropriate therapy, provide info about prognosis
Contrast partial and generalized seizures. partial: unilateral origin on EEG, sx consistent with focal origin generalized: bilat origin on EEG, sx c/w nonfocal origin
Contrast the subtypes of partial sz - complex and simple. simple: consciousness preserved complex: LOC
If a pt comes in stating she hears voices sometimes interlaced with music in the background, besides schizophrenia, what is another DDx? simple partial seizure causing auditory hallucinations
Simple partial seizures with psychic symptoms are generally localized to what cortical region? temporal lobe, can be faithfully reproduced with electrical stimulation
Describe an automatism. any automatic action that is indicative of one's particular type of sz - ex: lip smacking, hands clutching the air, etc.
What is the most common cortical location that causes localized and symptomatic epilepsies? temporal lobe
List the types of generalized seizures. absence, myoclonic, clonic, tonic, tonic-clonic, atonic
What two pieces of information are most helpful in narrowing down the type of sz afflicting a pt? age and description of the sz activity
most common cause of epilepsy in early adulthood (especially males) trauma - war, boxing, football concussions 2nd - EtOH, drugs
You are attending a 50 y/o Mexican man in the ER who has just had his first seizure. On CT scan, you note plaques on the brain that are very characteristic. Diagnosis: cysticercosis
The most common cause of temporal lobe epilepsy: right hippocampal sclerosis, detectable on MRI
Created by: sirprakes
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