25 Questions
What is another name for childhood absence epilepsy?
Petit mal
Which of the following is not a type of epilepsy mentioned?
Temporal lobe epilepsy
What is the EEG reading associated with?
Absence Seizure
How many types of epilepsy are mentioned in the original content?
4
What is the name of the fourth type of epilepsy mentioned?
Not specified
What is the consequence of neural exhaustion?
Cytotoxic edema
What is the final outcome of the process starting with continuous neural discharge?
Permanent neural damage
What type of causes usually lead to the process starting with continuous neural discharge?
Organic causes
What occurs after cytotoxic edema in the process?
Apoptosis of neurons
What is the first step in the process that leads to permanent neural damage?
Continuous neural discharge
What is the timeframe for a normal attack?
< 5 mins
What complication can cause irreversible damage?
Neuronal damage
What is not a symptom of an impending status?
Fever
What is a symptom of an impending status that affects the heart?
Cardiac dysrhythmia
What is a complication that affects the lungs?
Aspiration pneumonia
What is the primary consideration when selecting a treatment?
Choice of drugs
What is the first step in the treatment process?
Deciding how to start the treatment
What is a key consideration when using medication?
When to stop the medication
What is an important aspect of treatment duration?
The length of time on medication
What is the relationship between the choice of drugs and the duration of treatment?
The choice of drugs determines the duration of treatment
What are the potential causes of epilepsy?
Metabolic disorders, stroke, infection, and trauma
What is the initial step in managing a patient with epilepsy?
Monitoring vital functions such as BP, temp, and heart rate
What is the purpose of intubation in the management of epilepsy?
To secure the airway and facilitate breathing
What is the significance of low flow O2 inhalation in epilepsy management?
To increase oxygen supply to the brain
Why is it essential to monitor vital functions in patients with epilepsy?
To prevent further complications and ensure timely intervention
Study Notes
Types of Epilepsy
- Grand mal epilepsy (GME)
- Childhood absence epilepsy (petit mal)
- Juvenile myoclonic epilepsy
EEG Patterns
- Absence seizure patterns observed on EEG
Treatment of Epilepsy
- Choice of drugs depends on type of epilepsy and patient response
- Starting treatment: begin with low doses and gradually increase as needed
- Duration of treatment: varies depending on patient response and seizure control
- Stopping medication: gradual tapering to prevent withdrawal seizures
Complications and Risks
- Status epilepticus: prolonged seizure activity (>30 minutes) can lead to:
- Hyperpyrexia
- Hypotension
- Acidosis
- Hypoglycemia
- Cardiac dysrhythmia
- Shock
- Reflex pulmonary edema
- Aspiration pneumonia
- Neuronal damage (permanent and irreversible)
Causes of Epilepsy
- Organic causes:
- Metabolic disorders
- Infections (meningitis or encephalitis)
- Stroke
- Trauma
- Tumors
- Sudden withdrawal of anti-epileptic drugs (AED)
Management of Epilepsy
- On admission:
- Care of vital functions (BP, temp, respiration, heart rate)
- Intubation and low-flow O2 inhalation may be required
This quiz covers the different types of epilepsy, including grand mal epilepsy, childhood absence epilepsy, and juvenile myoclonic epilepsy. It also includes EEG readings and classification of seizures.
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