Seizure Disorders KA

Seizure Disorders KA - Seizure Disorder type Definition...

Info iconThis preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
Definition Etiology/Epidemiology Symptoms Signs Diagnostic Tests Treatment Carbamazepine (Tegretol) Status Epilepticus consecutive tonic-clonic seizures Febrile Seizure See specific kinds See specific kinds Irregular EEG See specific kinds Seizure Disorder type Simple Partial Seizure (SPS) Originate in one area of the brain and don't produce a loss of consciousness; auras without seizures fol owing can be a type of SPS Epileptogenic zones from structural abnormality, stroke, tumor, trauma, encephalopathy, etc.; Highest incidence after 1st year of life, highest after 65 y/o; Motor: jerky, rhythmic movements in one area or proceed in a jacksonian march - usual y the face or arm, other: big toe/thumb (epilepsia partialis continua), or head/eye (SMA); Sensory: positive or negative sensory symptoms contralateral to discharge - type of symptom depends on what part of brain is af ected; Autonomic: abdominal (N/V, warmth, pain), cardiovascular (Sinus tachycardia, chest pain, palpitation), pupil ary (miosis, mydriasis), urogenital (arousal,orgasms) Identify whether consciousness was maintained- ask to recal a simple word you told them during the SPS, ask to fol ow a command during the SPS, etc. Electrolytes, serum glucose, thyroid profile, toxin/drug screen, CT of brain w/o contrast (in ER); Coronal T2- weighted MRI with fluid at enuated inversion recovery (FLAIR); possible EEG Partial Complex Seizure Starts focal y in the brain and produces a loss of consciousness; usual y "temporal lobe epilepsy" <60y/o: 20 cases in 100,000; >60 y/o 80 cases in 100,000; Epilptic patients: 35% have these; evaluate for family or personal history of seizures, personal history of brain injury; Causes: tumor, stroke, trauma, infection, vascular/cortical malformations, hippocampul sclerosis, inherited Last 30 seconds to 2 minutes; Aura precedes temporal seizures 80% of the time (usual y abdominal or psychic); Loss of consciousness can be imcomplete but occurs; motor symptoms, automatisms - unilateral manual automatisms (picking/fumbling/pat ing) with contralateral arm dystonia - seizure in the cerebral hemisphere ipsilateral to the automatism; normal neurologic exams in most patients; however some patients can have aphasias, unilateral neglect, apraxia, etc. Rule out causes/evaluate
Background image of page 1
This is the end of the preview. Sign up to access the rest of the document.
Ask a homework question - tutors are online