PCOL 8-2 Epilepsy
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Questions and Answers

What is epilepsy diagnosed by?

  • Family history of seizures
  • Occurrence of at least one unprovoked seizure (correct)
  • Occurrence of at least one provoked seizure
  • Exposure to loud noises
  • Which type of seizure involves neurons activated in a small, discrete region?

  • Generalised seizure
  • Absence seizure
  • Focal (partial) seizure (correct)
  • Tonic-clonic seizure
  • What is the clinical manifestation of complex partial seizures?

  • Brief lapse of consciousness
  • Impairment of consciousness (correct)
  • Sudden loss of muscle tone
  • Repetitive muscle twitching
  • What causes convulsions, anxiety, and high blood pressure in the brain?

    <p>Excess glutamate</p> Signup and view all the answers

    What does overinhibition from excess GABA cause in the brain?

    <p>Sleep, sedation, depression</p> Signup and view all the answers

    Which type of neurons do Na+ channel blockers specifically target?

    <p>Rapidly firing neurons</p> Signup and view all the answers

    Which protein do glutamate release blockers bind to?

    <p>SV2A</p> Signup and view all the answers

    What is a common side effect of Na+ channel blockers?

    <p>Dizziness</p> Signup and view all the answers

    What is a common side effect of glutamate release blockers?

    <p>Sleepiness</p> Signup and view all the answers

    What is the main mechanism of action of perampanel (Fycompa)?

    <p>Selective, non-competitive AMPA antagonist</p> Signup and view all the answers

    Which medication enhances the actions of GABA and rapidly develops tolerance in patients?

    <p>Diazepam</p> Signup and view all the answers

    Study Notes

    Diagnosis of Epilepsy

    • Diagnosis of epilepsy is primarily conducted through clinical evaluation and patient history.
    • Neuroimaging, EEG (electroencephalogram), and blood tests may be utilized for a comprehensive assessment.

    Types of Seizures

    • Focal seizures, also known as partial seizures, involve neurons activated in a small, discrete region of the brain.

    Clinical Manifestation of Complex Partial Seizures

    • Complex partial seizures lead to altered consciousness or awareness, often featuring automatisms like lip smacking or repetitive movements.

    Causes of Convulsions, Anxiety, and High Blood Pressure

    • These symptoms can occur due to excessive neuronal excitation or dysfunction in brain circuits involved in regulating mood and physiological responses.

    Effects of Excess GABA Overinhibition

    • Overinhibition from excess GABA can lead to impaired neuronal communication, muscle weakness, and sedative effects, potentially resulting in coma or lethargy.

    Target of Na+ Channel Blockers

    • Na+ channel blockers specifically target excitatory neurons, inhibiting action potentials and reducing excessive neuronal firing.

    Binding Protein of Glutamate Release Blockers

    • Glutamate release blockers bind to the synaptic vesicle protein, disrupting the release of glutamate and modulating excitatory neurotransmission.

    Common Side Effects of Na+ Channel Blockers

    • A common side effect includes dizziness, drowsiness, or ataxia due to their impact on neuronal excitability.

    Common Side Effects of Glutamate Release Blockers

    • Side effects can include fatigue, nausea, and headaches as a result of altered neurotransmitter dynamics.

    Mechanism of Action of Perampanel (Fycompa)

    • Perampanel primarily functions as a non-competitive antagonist of AMPA receptors, reducing glutamatergic activity and preventing seizure propagation.

    Medication Enhancing GABA Actions

    • Benzodiazepines enhance GABA actions and can lead to the rapid development of tolerance in patients, diminishing their effectiveness over time.

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    Description

    Test your knowledge about epilepsy and anticonvulsants with this quiz. Learn about the disorder of the brain characterized by a predisposition to generate epileptic seizures and the diagnosis criteria. Explore the different causes and the impact of epilepsy, as well as the role of anticonvulsants in managing seizures.

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