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A recurrent paroxysmal disorder of brain function characterized by sudden attacks of altered consciousness. Cause is idiopathic
Absence Seizure (Petit Mal) 10 - 30 seconds
Patient is not aware of you (10 - 30 seconds) make odd or repetitive movements. This is the beginning of the seizure
Absence Epilepsy (Petit Mal) Phase & Tx
Muscles state to contract "violent shaking" eyes roll back Tx: 1. Klonopin 2. Dilantin
Medication makes patient sleepy, dizzy, double vision. Dose is adjusted based on patient response "see what works for patient"
Phycomotor Epilepsy (Partial Seizures)
Phycomotor Epilepsy or Temporal lobe seizures Partial seizures w/complex symptomology. Caused by a lesion in the temporal lob of the brain
Do not consume grapefruit juice while taking this drug it potentiates action & can increase risk of serious adverse effects
Seizures (Grand Mal) 2-5 min
1. Tonic-clonic Phase: person losses consciousness (freeze) 2. Tongue get caught - Muscles start to contract followed by violent shaking, eyes rolling back in head
Impaired motor activity or sensory impairment. Tx: 1. Tegretol XR (extended release tabs) 2. 2nd generation Neurontin
Alzheimer's Disease (Dementia)
Tx - Aricept There is no cure. Tx is given to try to slow it down. A devastating progressive decline in cognitive function, having a gradual onset (60-90 y.o.) followed by increasingly severe impairment in social & occupational functioning
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