-Most end spontaneously, but this seizure can last indefinitely until intervened
-Confusional state
-Check ABCs
-can be composed of tonic-clonic, but also others (and may be missed)
What is STATUS EPILEPTICUS
100
There are seven "predispositions" to seizure outside of epilepsy, name them:
What is:
1) systemic illness
2) fever
3) head trauma
4) EtOH/ drug withdrawal
5) Sleep deprivation
6) Metabolic abnormalities
7) Stress
200
These seizures are related to a known or suspected CNS cluster
What is SYMPTOMATIC
200
When a seizure starts in one hemisphere and spreads to both hemispheres is known as:
What is SECONDARILY GENERALIZED SEIZURE
200
-Abrupt loss of consciousness
-Ictus: respiratory inhibition, fall, incontinence
-Tonic/Clonic activity
-1-2minutes duration
- Post-ictal confusion
-high risk for injury
What is TONIC-CLONIC seizures
200
Only interventions for SE
What is
-IV Ativan
-maintain safety (padded rails)
200
First thing to assess with seizure
What is HPI
300
Seizures located to ONE hemisphere are known as
What is FOCAL seizures
300
Purposeless motor behavior is known as:
What is automatisms
300
-lasts 10seconds or less
-Brief lapses of awareness
-No aura or awareness of event after
-Less frequent automatisms
What is ABSENCE seizures
300
Neurophysiological hallmark of focal epilepsy
What is Epileptic spike on EEG
300
Name the laboratory studies you'd order:
What is -CBC, -BMP, -LP (CSF)
400
These seizures have activity distribution over both hemispheres
What is GENERALIZED
400
Generalized muscle rigidity is known as:
What is TONIC
400
-Sudden brief jerking of one or both arms
-May be in flurries
-Often in the morning, upon awakening
-No loss of consciousness, awareness (generally)
What is MYOCLONIC
MYOCLONIC = morning
400
A combination of excitability and a loss of ________ results in a seizure
What is INHIBITORY
400
Three common imaging for dx seizure
What is
-EEG
-CT
-MRI
500
Seizures in which awareness is lost can be termed:
What is COMPLEX
500
Rhythmic jerking is known as:
What is CLONIC (CLONUS)
500
-5-20 second duration
-Loss of awareness
- may occur in flurries
-can be part of a syndrome, refractory to tx
What is TONIC seizure
500
A predisposition to seizure includes abnormalities in the neuronal pathways, known as:
What is SYCHRONIZATION
500
For SEIZURE activity, this is the treatment:
What is IV ATIVAN
*antiepilectics are okay only after secondary causes have been ruled out!