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Epilepsy CSON

QuestionAnswer
Epilepsy is condition of chronic seizures
Seizures are group of irritated neurons that become depolorized and hypersensitive. therfore the
Partial seizure envolves 1/2 of the brain, but can become generalized
Types of Partial seizures simple, complex, and partial with generalization
Simple partial seizure a localized type of partial seizure, without loss of consciousness; if it progresses to another type of seizure it is called an aura
Complex Partial Seizure a type of partial seizure associated with disease of the temporal lobe and characterized by varying degrees of impairment of consciousness and automatisms, for which the patient is later amnestic
Generalized Seizure envolves all of the brain
Types of Generalized Seizures Abscence, Myoclonic, Tonic-Clonic, and Atonic
Absence Generalized Seizure the seizure of absence epilepsy, marked by a momentary break in consciousness of thought or activity and accompanied by a symmetrical 3-cps spike and wave activity on the electroencephalogram
Myoclonic Generalized Seizure one characterized by a brief episode of myoclonus (muscle twitching)
Tonic-Clonic epileptic seizure characterized by generalized involuntary muscular contraction and cessation of respirations followed by tonic and clonic spasms. Breathing resumes w/noisy resp. Teeth may be clenched, tongue bitten, and control of bladder or bowel lost.
Atonic an absence seizure characterized by sudden loss of muscle tone
Status Epilepticus a medical emergency characterized by continuous seizures lasting more than 30 minutes without interruption
Status Epilepticus can be caused by... the sudden withdrawal of anticonvulsant drugs, inadequate body levels of glucose, a brain tumor, a head injury, a high fever, or poisoning.
Therapy for Status Epilepticus IV administration of anticonvulsant drugs, nutrients, and electrolytes. An adequate airway is usually maintained with a nasopharyngeal or endotracheal tube
Medications for Simple & Complex Seizures Carbamazepine, Phenytoin, Valproate, Primadone, and Phenobarbital
Medications for Primary generalized tonic-clonic, absence, and atonic seizures Valproate, Carbamazepine, Phenytoin, Clonazepam, and Levetiracetam
Seizure medications may eliminate or reduce frequency of seizures, but cannot prevent or cure them
Surgical Tx for Epilepsy Anterior Temporal Lobectomy, Lesionectomy, Corpus Callosotomy, and Hemispherectomy
What is the most common cause of seizure break through? Noncompliance with medication
The % of those who acheive satisfactory control with their medication is... 60-70%
Less than __% acheive control without side effects 50%
In order to treat Epilepsy, you need to know... exactly where the seizures are coming from
Created by: Heather.Nicole
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