Seizure Salad
According to 2010 classification, there are this many distinct types of generalized seizures.
What is six?
Tonic Clonic
Absence
Myoclonic
Clonic
Tonic
Atonic
If these symptoms are seen (eye closure/fluttering, side to side head movements, pressed awareness, influence by bystanders) you might be seeing the patient's this.
What is PNES?
What is viscosity?
While used in some adults, this medication is generally avoided in adolescence due to it's ability induce hursitism, acne and gingival hyperplasia.
What is Phenytoin?
The following medication should be avoided in a patient with generalized anxiety disorder and focal epilepsy, due to the possibility of seizure exacerbation.
What is Wellbutrin?
Eye movements during which stage of a generalized seizure are described as an upward deviation.
What is the tonic stage?
Following a seizure, this type of transiet paralysis can occur on one side.
What is Todd's paralysis?
While the prevalence of anxiety in those diagnosed with epilepsy is 25%, the rat of those with depression is even higher at this number.
What is 55%?
When treating a seizure with Ativan, this is the usual starting dose of IV or IM administration.
How much is 2mg?
A previously healthly 24 y/o right-handed woman is brought to the D by her friends after her first generalized tonic-clonic seizure. She feels she is back to baseline and her vital signs are stable. The following test is not a necessary part of her initial work up:
A) CMP
B) Neuroimaging (MRI or CT)
C) EEG
D) Lumbar Puncture
E) Urine tox
What is Lumbar Puncture?
These eye movement during generalizd tonic-clonic seizure are characterized by the pupils alternaltly contracting and dilating in a rhythmic pattern.
What is hippus?
Provoked seizures require this treatment.
What is no medication and addressing the underlying trigger?
Doses of Wellbutrin IR above which daily dose has been shown to lower the seizure threshold.
How much is 450mg/day?
This medication should be not be used in absence seizures as it can exacerbate the disorder.
What is Carbamazepine?
You are seeing a 40 y/o male with poorly controlled MDD currently maintained on escitalopram and aripirazole. He experiences recurrent focal dyscognitive seizures over a one week period. This anti-seizure medication should be avoided.
What is Keppra?
Status epilepticus is defined as a seizure lasting more than five minutes or when this other criteria is met.
What is two or more sequential seizures without full recovery of consciousness between seizures?
This is the gold standard to diagnosis PNES.
What is video EEG?
In addition to Wellbutrin, these two other psychiatric medications can decrease the seizure threhold.
This anti-seizure medication's levels are dropped by almost half by used with oral contraceptives.
A 25 y/o male with a history of PTSD presents for a second opinion regarding spells of alerted awareness. He shows you a video of him with his eyes closd, side-side head shaking, and erratic movements of the extremities. He is on Zoloft, Lamictal, Xanax and Keppra. Prior MRI was normal. This is the next appropriate step.
What is refer for video EEG monitoring?
During a focal seizure when fencing occurs, the arm will move in this way in relation to the focus.
What is
Flexes ipsilatral to the focus and
Extends contralateral to the focus?
This lab value will not be elevated in pseudoseizures, but will be in seizures.
What is prolactin?
While he never committed a crime or did the punishment, this Russian author is well known for being an epilptic with hypergraphia.
Who is Fyodor Dostoyevsky?
This is the dosage range of Gabapentin for treating seizures?
How much is 900mg-3,600mg /day?
This anti-seizure medication is not a hepatic enzyme inhibitor or inducer.
What is Lamictal?