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Complex Partial Seizures Case 40
Terms in this set (80)
What is a complex partial seizure?
abnormal temporal behavior caused by an abnormal electrical discharge from neurons in the cerebral cortex
what is a seizure
activity in the brain
what is a convulsion
what you see
a _______ partial seizure does not spread
a _________ partial seizure starts in the one area of the brain and spreads
where is the most common type of partial
_______usually starts a few hours or days before the seizure
what are signs of a prodrome
insommnia, HA, irritability, ill temper, aggression
what is an aura? and what are its signs? will it have a change on the EEG?
initial part of the seizure
motionless blank stair
eyes wide open and unresponsive,
foul odor in mouth"soap taste"---> temporal lobe
YES YOU CAN SEE A CHANGE ON THE EEG signaling the seizure origin
T/F auras are in all types of seizures?
F, auras are only in partial seizures
what is an automatism?
repetative unconscious movements that may resemble simple repetitive tics or repetitive involuntary coordinated purposeless activities
buttoning shirt, smacking lips, fidgeting, chewing, moaning, and fidgeting are examples of?
what is epilepsy?
chronic disorder characterized by recurrent seizures
you need 2 in one year
what does ictal mean?
____ phase has a prodromal and aura and is before the seizure
______ phase is immediately after the seizure. patient will feel drowsy and have incontanance
elevated serum prolactin
what will the EEG show?
diffuse or focal slow waves, activity with suppression of normal background then increase serum prolactin
when should you pro form the EEG
within 24 hours of the EEG
usually causes seizures 2 years after injury
look at electrolytes in the serum
why would you do a MRI for a differential?
_____ is the most likely cause of metabolic imbalance
dehydration do to serum electrolytes
high/low glucose fasting,
can cause seizrure
why would you do a spinal tap, to rule out....
infection in the CSF
CT are used to look for?
clot busters are given if it is an active _____
you must R/O neuro______
febrile seizures can be due to
cardiovascular- ischemia to the brain
alcohol and benzo withdrawal
dehydration causes hypoatremia
HA- concussion (2 years)
causes of seizures
Case 40 Complex Partial seizures (CPS)
______ lobe is more common then frontal lobe
what does the full definition of complex partial seizure mean?
begins in a focal area of the brain, often the temporal lobe, may progress rapidly to involve both cerebral hemispheres
what are CPS characterized by
loss of awareness of self and surroundings with automatisms
what are some causes of CPS
metabolic disorder (glucose fasting)
doesn't respond but doesn't lose consciousness
stairs into space
stomach discomfort before blackout
in this case the patient's aura is
soap taste in the mouth
_____ people and _____ people over the age of _____ get complex partial seizures
_____ seizures are common in the young
tumor usually causes seizures in the
how long do these seizures last?
30 sec to 2 min
what happens if they last longer? they can become?
a ______ HA is + for a potential temporal tumor
this patient automatism is trouble doing what?
buttoning his shirt
____ triggers seizures
+ polyps and colon cancer
risk factors for a seizure because cancer can spread to the brain
something that would cause a seizure in someone susceptible is a ____
what is an example of a trigger
someone drinking alcohol who has epilepsy
something that could cause it in anyone
tumore, alcohol withdrawal
survey of health related quality of life for adults with epilepsy. It is 38 questions about the patients health and daily activities. They either circle a 1,2 or 3. His condition is prob worse than we are aware because he has the support
wat is the order starting at prodrome?
prodrome--->aura--->automatism which is in the actual seizure--->post ictal
what is the first step in a seizure
seizures have a change in ____ pressure
no gonorrhea is good because it can lead to ______
meningitis which can cause a seizure
resp alkalosis--> hypoxia
uremia (BUN and creatinin)
AST/ALT for hyperbillirubinenim
pool liver function causes build up of ammonia
all cause metabolic issues which can cause a seizure
EEG may be _____ between seizures.
EEG should be pro formed within ___ hrs after the seizure.
EEG should be ____ after 72 hrs
24 hrs post
what are some tequniques used to induce a seizer
sleep deprivation or hyperventilation
_____ _____ with histologic features consist with poorly differentiated astrocytoma
____ is the MC adult brain tumor
poorly defined, gray matter tumor that ranges in size from a few centimeters to huge tumor that replaces an entire hemisphere
what are the two most common caress for partial seizures?
what are the signs of a frontal lobe seizure?
more complex automatisms
rolling head from side to side
is this patients seizures due to primary or secondary causes?
secondary because he has a brain tumor
is surgery an option?
not for astroytomas
what do we treat this patient with
anti seizure meds
what are anti-seizure meds?
why is this mans tumor not idiopathic
because he is old so it would be anything but idiopathic
tumor can be ____ or ____ to cause epilepsy
beign and malignant
TIA--> hypoxia --> _____
occurrence of seizure is prolonged or happen frequently which causes brain damage
____ or permanent damage is very rare in seizures
what is a medication that causes birth defects
seizure with genetic basis in which the inherited trait is expressed in a neurologic or systemic disorder
________ causes neurofibromytosis
cafe au late spots
____ are usually the first sign in cancer
drug of choice for CPS
phenytoin and Carbamazepine
THIS SET IS OFTEN IN FOLDERS WITH...
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