Understanding Seizures and Epilepsy
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Questions and Answers

What is the primary distinction between a seizure and epilepsy?

  • There is no distinction; these terms are interchangeable.
  • A seizure is a sudden, uncontrolled electrical disturbance in the brain, while epilepsy is a chronic condition characterized by a tendency towards recurrent seizures. (correct)
  • Epilepsy is a single seizure event, and a seizure is a chronic condition with multiple events.
  • A seizure is a chronic neurological disorder, whereas epilepsy is an acute, sudden event.

According to the provided information, what is the minimum requirement to diagnose epilepsy?

  • At least three seizures, either provoked or unprovoked.
  • Two provoked seizures within a 24-hour period.
  • One provoked seizure, with a low probability of further seizures.
  • One unprovoked seizure with a greater than 60% chance of a second unprovoked seizure or an epilepsy syndrome. (correct)

Approximately what percentage of the general population will experience a seizure at some point during their lifetime?

  • 15-20%
  • 5-6%
  • 1%
  • 7-10% (correct)

What percentage of people with seizures do not require antiepileptic medication, for economic or social reasons?

<p>60% (A)</p> Signup and view all the answers

What is the primary difference in the origin of electrical discharges between focal and generalized seizures?

<p>Focal seizures start in a specific area of the brain, while generalized seizures commence in both cerebral hemispheres simultaneously. (A)</p> Signup and view all the answers

Which of the following is a characteristic of a complex partial seizure, but not a simple partial seizure?

<p>Impairment of awareness during the event. (C)</p> Signup and view all the answers

Which brain region is most commonly associated with complex partial seizures?

<p>Temporal lobe (D)</p> Signup and view all the answers

Which of the following is a common psychiatric symptom associated with a complex partial seizure?

<p>Macropsia (B)</p> Signup and view all the answers

Which of the following accurately describes MOTOR automatisms?

<p>Highly integrated complex involuntary motor acts including lip smacking and fumbling. (A)</p> Signup and view all the answers

What characterizes a primary generalized seizure?

<p>Discharge in both hemispheres simultaneously from onset. (D)</p> Signup and view all the answers

During which phase of a generalized tonic-clonic seizure does the body exhibit bilateral symmetrical jerking?

<p>Clonic phase (A)</p> Signup and view all the answers

What is a distinctive feature of absence seizures?

<p>Brief attacks with a lack of recall and no postictal confusion. (D)</p> Signup and view all the answers

Which of the following is classified as a type of generalized seizure?

<p>Myoclonic (C)</p> Signup and view all the answers

What is a common cause of symptomatic (secondary) epilepsy?

<p>Infection such as cysticercosis (D)</p> Signup and view all the answers

During which phase of a generalized tonic-clonic seizure does consciousness become lost?

<p>Tonic phase (A)</p> Signup and view all the answers

What is a characteristic EEG finding during an absence seizure?

<p>Typical 3 Hz spike and wave pattern (B)</p> Signup and view all the answers

Flashcards

What is a seizure?

A transient event caused by excessive abnormal neuronal activity in the brain.

What is epilepsy?

A condition characterized by a tendency to have recurrent, unprovoked seizures.

What is the criteria to diagnose epilepsy?

At least two unprovoked seizures occurring more than 24 hours apart or one unprovoked seizure with a greater than 60% chance of a second unprovoked seizure.

What are focal seizures?

Seizures starting in a specific area of the brain.

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What are generalized seizures?

Seizures starting simultaneously in both hemispheres of the brain.

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What are simple focal seizures?

Focal seizures where consciousness is preserved.

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What are complex focal seizures?

Focal seizures where consciousness is impaired.

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What are complex partial seizures?

These seizures are often associated with temporal lobe activity and include changes in awareness, motor behavior, and possible psychiatric symptoms, such as fear or hallucinations.

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Motor Automatisms

Highly complex, involuntary motor movements that occur in the body, like lip smacking or fumbling with hands. These movements occur as a result of the brain's electrical activity and often happen during seizures.

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Generalized Seizures

Seizures where the electrical activity in the brain begins in both hemispheres of the brain simultaneously, meaning the entire brain is affected. These were previously known as 'primary generalized.'

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Focal to Bilateral Tonic-Clonic Seizures

A type of seizure that starts in one part of the brain, but spreads to both hemispheres, resulting in generalized tonic-clonic activity. This used to be called 'secondarily generalized tonic clonic.'

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Generalized Motor Seizures

A category of seizures that involve the entire brain and impact motor function.

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Absence Seizures

A type of generalized seizure characterized by a brief loss of consciousness, usually without any significant motor activity. The person might stare blankly, have rhythmic eyelid fluttering, or mouth movement.

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Generalized Tonic-Clonic Seizures (Tonic Phase)

A type of seizure characterized by a generalized increase in muscle tone, leading to stiffening of the body. The person often loses consciousness and may experience tongue biting, air forced from their lungs, and jerking movements.

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Generalized Tonic-Clonic Seizures (Clonic Phase)

A type of seizure characterized by rhythmic jerking movements of the body, often occurring after the tonic phase.

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Postictal Phase

The period after a seizure where the person gradually regains consciousness and may experience symptoms like confusion, headache, muscle aches, or fatigue.

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Study Notes

Seizures and Epilepsy

  • Seizures are transient signs or symptoms caused by abnormal, excessive neuronal activity in the brain.
  • Epilepsy is a tendency toward recurrent unprovoked seizures.

Defining Epilepsy

  • Epilepsy is diagnosed when a person has at least two unprovoked seizures that occur more than 24 hours apart, or one unprovoked seizure with a greater than 60% chance of a second unprovoked seizure.

Prevalence

  • Seizures affect 7-10% of people at some point in their lives.
  • Epilepsy affects 1% of the population.

Incidence and Age

  • Incidence of seizures varies with age, peaking at infancy and old age (over 60).
  • Epilepsy affects all genders, social classes, and ethnic groups.

Causes and Risk Factors

  • Birth trauma
  • Central nervous system (CNS) infections
  • Traumatic brain injury (TBI)
  • 60% of individuals do not take antiepileptic drugs, often due to economic and social reasons.

Types of Seizures

  • Focal (partial) seizures: Abnormal electrical discharge begins in one area of the brain.
    • Simple focal seizures: Awareness is retained.
    • Complex focal seizures: Awareness is impaired. May involve automatisms (highly integrated, complex involuntary movements like lip smacking or fumbling with hands). Often originate in the temporal lobe.
  • Generalised seizures: Abnormal electrical discharge begins simultaneously in both cerebral hemispheres.
    • Types of generalised seizures include: tonic-clonic, tonic, clonic, myoclonic, and atonic.
      • Focal to bilateral tonic-clonic: A focal seizure that spreads bilaterally causing a tonic-clonic seizure. -Absence: Brief loss of awareness; characterised by a blank stare.

Clinical Features of Seizures

  • Motor: involves movement
  • Non-motor: may involve sensory, autonomic, cognitive, or emotional symptoms.

Etiology of Epilepsy

  • Idiopathic (primary): No identifiable cause; often genetic.
  • Symptomatic (secondary): Caused by a known factor such as infection, stroke, brain tumor, head trauma, or birth injury.
  • Other causes: Genetic, structural, infectious, metabolic and immune factors, and unknown causes.

Age and Etiology

  • Etiology (cause) of epilepsy is useful to consider in terms of age.

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Related Documents

Epilepsy Part 1 PDF

Description

This quiz explores the fundamental concepts of seizures and epilepsy, including their definitions, prevalence, incidence, causes, and types. It aims to provide a comprehensive understanding of how these neurological conditions affect individuals across different demographics.

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