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Peds: Seizures Exam 2
Peds: Seizures Exam 2
27
Anatomy
Graduate
03/08/2012

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Term
Antiepilepsy medications:
Definition
- Carbamazepine= Tegretol
- Phenytoin sodium= Dilantin
- Valproic acid= Depakote
- Lamotrigine= Lamictal
- Topiramate= Topamax
- Levetriacetam= Keppra
Term
Tegretol:
Definition
Carbamazepine (Gretol is on a low CARB diet)
Term
Dilantin:
Definition
phenytoin sodium
Term
Depakote:
Definition
Valproic acid

(Val has a Kote)
Term
Lamotrigine:
Definition
Lamictal
Term
Topiramate:
Definition
Topamax
Term
Levetiracetam:
Definition
Keppra
Term
aura> automatisms> post-ictal period:
Definition
Complex Partial Seizures
Term
During absense seizures children are __.
Definition
unresponsive
Term
During atypical absence seizures pt may be somewhat __ and __, may have behaviors such as:
Definition
- aware and responsive
- eyelid fluttering, swallowing, head movements
Term
Anticonvulsant effective only against absence seizures:
Definition
Ethosuximide (Zarontin)
Term
Tmt of absence seizures:
Definition
- Ethosuximide
- Valproic acid
- Ketogenic diet
Term
Tonic seizure:
Definition
- increased muscle tone of entire body, usually extension dominates
- Last less than 1 minute usually
- Consciousness impaired but not lost
- Post-ictal confusion
Term
Neonatal seizures workup:
Definition
- Glucose
- Electrolytes
- Calcium ionized
- Magnesium
- Metabolic eval
- Blood cultures
- Urine cultures
- Spinal fluid
Term
test if suspect intracranial hemorrhage as cause of neonatal seizure:
Definition
ultrasound
Term
With neonatal seizures first rule out __, and then rule out __.
Definition
sepsis
bleeds
Term
complex febrile seizure:
Definition
- > 10 minutes
- focal
- 2 discrete episodes within 24hours
Term
Factors that increase recurrence of febrile seizures:
Definition
- younger age
- family history of febrile seizures or seizure disorder
Term
Factors that make you consider LP with febrile seizure:
Definition
- less than 18 months old
- prior abx treatment
- toxic appearing
- meningeal signs
Term
DOC for Status Epilepticus:
Definition
Lorazepam (Ativan)
Term
Greatest risk for epilepsy in children with:
Definition
- prolonged convulsions (>20-30 minutes)
- focal/partial seizures
- FHx + for afrebrile seizures in first degree relative
- Hx of previous developmental delay
Term
Jitterinesss is not a seizure. This is more common in what babies?
Definition
- infants of diabetic mothers
- small for gestational age infants
- infants withdrawing from maternal drug use
Term
Sandifer syndrome is a movement associated with __ __ __.
Definition
gastroesophageal reflux
Term
kid arching back, stiffen, crys, moves head side to side:
Definition
Sandifer Syndrome associated with GER
Term
oscillating to and from movements of limbs in first 6 weeks of life:
Definition
Jitteriness
Term
Baby with rapid shivering tremor of trunk arms and head as if someone poured water down their back, begins 3-5 month olds, diappears over 1st 1 years of life:
Definition
Benign Shuddering Attacks
Term
When neuroimaging (MRI) is more likely to reveal abnormalities with seizures:
Definition
- Focal neuro signs
- Reistant to meds
- Neonatal period or > 20 years old
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