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Questions and Answers
What type of seizures can commonly affect the frontal lobe and other parts of the brain?
What type of seizures can commonly affect the frontal lobe and other parts of the brain?
What is the common characteristic of focal seizures that affect the parietal lobe?
What is the common characteristic of focal seizures that affect the parietal lobe?
Which part of the brain is commonly involved in generalized seizures?
Which part of the brain is commonly involved in generalized seizures?
What is the typical duration of a generalized tonic-clonic seizure?
What is the typical duration of a generalized tonic-clonic seizure?
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What is a defining characteristic of the tonic phase of a generalized tonic-clonic seizure?
What is a defining characteristic of the tonic phase of a generalized tonic-clonic seizure?
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What usually follows a generalized seizure?
What usually follows a generalized seizure?
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What can happen to focal seizures?
What can happen to focal seizures?
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What is the term for the state immediately following a seizure?
What is the term for the state immediately following a seizure?
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What is the primary risk associated with status epilepticus?
What is the primary risk associated with status epilepticus?
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Which of the following medications is used for the immediate management of status epilepticus?
Which of the following medications is used for the immediate management of status epilepticus?
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What denotes status epilepticus?
What denotes status epilepticus?
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What can result from untreated status epilepticus?
What can result from untreated status epilepticus?
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Which of the following is considered a long-acting anticonvulsant for treating seizures?
Which of the following is considered a long-acting anticonvulsant for treating seizures?
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What is a primary reason that hemorrhagic strokes have a higher seizure potential compared to ischemic strokes?
What is a primary reason that hemorrhagic strokes have a higher seizure potential compared to ischemic strokes?
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Which type of stroke is primarily associated with thrombi or thromboembolic disease?
Which type of stroke is primarily associated with thrombi or thromboembolic disease?
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Which condition is least likely to contribute to metabolic causes of seizures?
Which condition is least likely to contribute to metabolic causes of seizures?
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What type of infectious illness is associated with seizures?
What type of infectious illness is associated with seizures?
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Which of the following is primarily categorized as a neoplastic cause of seizures?
Which of the following is primarily categorized as a neoplastic cause of seizures?
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What occurs during depolarization of a neuron?
What occurs during depolarization of a neuron?
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What is the typical resting membrane potential of neurons in the CNS and PNS?
What is the typical resting membrane potential of neurons in the CNS and PNS?
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Which ion's movement is primarily responsible for the repolarization phase of the action potential?
Which ion's movement is primarily responsible for the repolarization phase of the action potential?
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What component is directly involved in neurotransmitter release following an action potential?
What component is directly involved in neurotransmitter release following an action potential?
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How does the expression of receptors in the post-synaptic neuron affect neurotransmitter binding?
How does the expression of receptors in the post-synaptic neuron affect neurotransmitter binding?
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What is the role of regulatory/modulatory enzymes in neurotransmitter function?
What is the role of regulatory/modulatory enzymes in neurotransmitter function?
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What initiates the action potential in response to stimulation?
What initiates the action potential in response to stimulation?
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Which process leads to the transmission of electrochemical current down the axon?
Which process leads to the transmission of electrochemical current down the axon?
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Which infectious agent is most commonly associated with meningitis in HIV/AIDS patients?
Which infectious agent is most commonly associated with meningitis in HIV/AIDS patients?
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What is the primary cause of chronic trauma-induced seizures?
What is the primary cause of chronic trauma-induced seizures?
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Which autoimmune disease is most commonly associated with seizures?
Which autoimmune disease is most commonly associated with seizures?
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Which of the following is a potential consequence of increased NMDA and AMPA receptor activity?
Which of the following is a potential consequence of increased NMDA and AMPA receptor activity?
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Which condition is primarily associated with bitemporal encephalitis?
Which condition is primarily associated with bitemporal encephalitis?
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What is the effect of trauma-induced seizures on glutamate levels?
What is the effect of trauma-induced seizures on glutamate levels?
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Which disease is linked to post-viral syndromes following infections such as RSV or influenza?
Which disease is linked to post-viral syndromes following infections such as RSV or influenza?
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Which of the following is NOT a mosquito-borne infectious cause of seizures?
Which of the following is NOT a mosquito-borne infectious cause of seizures?
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What is the primary consequence of chronic alcohol use on GABAA receptors?
What is the primary consequence of chronic alcohol use on GABAA receptors?
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What symptoms are indicative of alcohol withdrawal syndrome?
What symptoms are indicative of alcohol withdrawal syndrome?
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Which medication is used for the acute management of alcohol withdrawal agitation?
Which medication is used for the acute management of alcohol withdrawal agitation?
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What condition can occur 48-96 hours after the last drink in chronic alcoholics?
What condition can occur 48-96 hours after the last drink in chronic alcoholics?
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Which pharmacological approach is employed to help restore GABA sensitivity in alcohol withdrawal?
Which pharmacological approach is employed to help restore GABA sensitivity in alcohol withdrawal?
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What is the mechanism of action for Topiramate in seizure management?
What is the mechanism of action for Topiramate in seizure management?
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What is the first-line management for absence seizures?
What is the first-line management for absence seizures?
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Which of the following medications acts by blocking voltage-gated sodium channels?
Which of the following medications acts by blocking voltage-gated sodium channels?
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What effect does alcohol withdrawal have on CNS activity?
What effect does alcohol withdrawal have on CNS activity?
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Which action does Levitiracetam target to achieve its anti-seizure effects?
Which action does Levitiracetam target to achieve its anti-seizure effects?
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Flashcards
Status Epilepticus
Status Epilepticus
A medical emergency with continuous seizure activity for over 5 minutes or recurrent seizures without recovery of consciousness.
Medical Emergency
Medical Emergency
A condition that requires immediate medical intervention to prevent serious consequences.
Benzodiazepine
Benzodiazepine
A class of medications used to treat anxiety and seizures; examples include Lorazepam and Midazolam.
Long-acting Anticonvulsants
Long-acting Anticonvulsants
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Phenobarbital
Phenobarbital
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Ischemic Stroke
Ischemic Stroke
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Hemorrhagic Stroke
Hemorrhagic Stroke
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Seizure Risk in Strokes
Seizure Risk in Strokes
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Pathophysiologic Etiologies
Pathophysiologic Etiologies
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Oxidative Stress in Neurons
Oxidative Stress in Neurons
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Electrochemical excitability
Electrochemical excitability
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Nerve action potential
Nerve action potential
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Resting membrane potential
Resting membrane potential
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Depolarization
Depolarization
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Repolarization
Repolarization
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Voltage-gated calcium channels
Voltage-gated calcium channels
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Neurotransmitter binding
Neurotransmitter binding
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Synaptic transmission
Synaptic transmission
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Meningitis
Meningitis
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Streptococcus Pneumoniae
Streptococcus Pneumoniae
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Neisseria Meningitidis
Neisseria Meningitidis
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Cryptococcal Meningitis
Cryptococcal Meningitis
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Encephalitis
Encephalitis
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Herpesviruses
Herpesviruses
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Trauma-Induced Seizures
Trauma-Induced Seizures
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Systemic Lupus Erythematosus (SLE)
Systemic Lupus Erythematosus (SLE)
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Frontal Lobe Seizures
Frontal Lobe Seizures
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Parietal Lobe Seizures
Parietal Lobe Seizures
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Generalized Seizures
Generalized Seizures
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Post-Ictal State
Post-Ictal State
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Generalized Tonic-Clonic Seizures
Generalized Tonic-Clonic Seizures
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Clonic Jerking
Clonic Jerking
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Neuronal Projections
Neuronal Projections
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Loss of Consciousness
Loss of Consciousness
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GABAA Receptors
GABAA Receptors
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Alcohol Withdrawal
Alcohol Withdrawal
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Delirium Tremens
Delirium Tremens
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IV Lorazepam
IV Lorazepam
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GABA Potentiation
GABA Potentiation
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SV2A Inhibitor
SV2A Inhibitor
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Topiramate
Topiramate
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Valproic Acid
Valproic Acid
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Ethosuximide
Ethosuximide
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Calcium Channel Blockade
Calcium Channel Blockade
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Study Notes
Pathophysiology of Seizures
- Seizures are characterized by abnormal hyperexcitability in the brain, potentially causing loss of consciousness, and or motor or non-motor symptoms
- The brain's primary excitatory neurotransmitter is glutamate, which promotes neuronal depolarization
- Inhibitory neurotransmitter GABA opposes excitation by promoting neuronal hyperpolarization
Nerve Action Potential
- A nerve action potential is a phenomenon characterized by the entry of sodium ions, leading to depolarization, and the efflux of potassium ions, leading to repolarization
- This movement allows for the transmission of electrochemical current down the axon
- Voltage-gated calcium channels are essential for releasing neurotransmitters at the synapse
Neurophysiology of Neuronal Excitation in the CNS
- Glutamate is the primary excitatory neurotransmitter in the central nervous system (CNS)
- NMDA receptors allow calcium influx when stimulated by glutamate
- AMPA receptors rapidly promote sodium influx when stimulated by glutamate
- GABA is the primary inhibitory neurotransmitter , promoting chloride influx and hyperpolarization
Regulation/Inhibition of Excitatory Activity in the CNS
- GABA is the primary inhibitory neurotransmitter in the CNS, primarily via GABA (A) and GABA (B) receptors.
- GABA(A) receptors allow chloride influx, causing hyperpolarization.
- GABA(B) receptors impact presynaptic and postsynaptic functions indirectly by influencing cAMP and protein kinase A
Biochemical Etiology of Seizures
- Excessive excitation, decreased inhibition, and synchronization of neuronal firing contribute to seizures
- Cellular energy failure from Hypoxia and oxidative damage and electrolyte abnormalities (like hyponatremia) can increase neuronal excitability and trigger seizures
- Autoimmune diseases such as SLE can result in inflammation and altered neuronal function, thereby increasing seizure risk
Important Neuroanatomical Locations
- Seizures can originate and spread through various brain regions affecting sensory/motor systems and causing different symptoms
- The frontal lobe encompasses sensory, motor and higher cognitive functions such as problem solving.
- The parietal lobe deals with sensory reception and spatial awareness.
- The occipital lobe deals with visual processing.
- The temporal lobe encompasses auditory, memory, and speech processing
- Sub-cortical areas like the thalamus and hippocampus, as well as the brainstem are related to autonomic and generalized seizures.
Subtypes of Seizures
- Focal seizures are restricted to one area of the brain; they can remain localized or spread
- Generalized seizures involve both brain hemispheres.
Status Epilepticus
- Status epilepticus (SE) is a medical emergency entailing continuous seizure activity
- SE presents as continuous seizure episodes without breaks, and can lead to serious consequences, including permanent neurologic damage.
- Three subtypes of SE include generalized convulsive, nonconvulsive, and focal status epilepticus
- Management of SE includes IV benzodiazepines (e.g., diazepam, lorazapam) to stop the acute seizure activity, along with anticonvulsant medication, to prevent future seizures.
Pathophysiologic Etiologies of Seizures (Additional Information Included)
- Various factors such as vascular, infectious, traumatic, autoimmune, metabolic, neoplastic, or drug-induced conditions can cause seizures
- Specific examples are ischemic/hemorrhagic strokes, infections like meningitis or encephalitis, trauma, autoimmune conditions like SLE, metabolic disturbances, and tumors or masses (neoplasms)
- The specific drugs that affect the seizure threshold include illicit drugs such as amphetamines, cocaine, and ketamine and, some prescribed medications such as antidepressants (like bupropion), and antipsychotics (like clozapine).
- Several additional factors can contribute to the occurrence of seizures
- For instance, sudden alcohol withdrawal, hypoglycemia, hyponatremia can trigger seizures.
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Description
Test your knowledge on the pathophysiology of seizures, nerve action potentials, and the neurophysiology of neuronal excitation in the central nervous system. Understand key concepts such as neurotransmitters and their functions, and the implications of neuronal hyperexcitability. This quiz will help reinforce essential principles in neurophysiology.