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Notes in
2. Fits and Seizures
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Published
02/10/2024
Seizure is {{c1::any sudden attack from whatever cause}}
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02/10/2024
Syncope is {{c1::sudden loss of consciousness related to neuro-cardiogenic mechanisms}}
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02/10/2024
Convulsion is {{c1::a seizure associated with prominent motor activity}}
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{{c2::Epileptic Seizure}} is {{c1::an abnormal excessive hyper synchronous discharge from a group of neurons manifesting as changes in motor, sen…
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02/10/2024
{{c2::Epilepsy}} is {{c1::a tendency to recurrent, unprovoked epileptic seizures}}
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02/10/2024
Examples of Non-Epileptic Seizures and Seizure-Mimics {{c1::Acute symptomatic seizures: due to acute insults eg. Hypoxia-ischaemia, hypoglycemia, infe…
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{{c1::Febrile Convulsion}} is {{c2::a seizure occurring in infancy/childhood, usually between 3 months and 5 years of age, associated with fever but w…
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02/10/2024
Types of Seizures (Based on Symptoms) Shake and Jerk: {{c1::clonic, myoclonic, spasms}} Stiff: {{c1::tonic}} Fall: {{c1::atonic, tonic, myoclonic}} Va…
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Types of Epileptic Seizures {{c1::Partial seizures: seizure is focused to one hemisphere or part of one hemisphere}} {{c1::Generalized seizures: seizu…
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Stepwise Approach to Diagnosing Epilepsy {{c1::Is the paroxysmal event epileptic in nature? Is it epilepsy?}} {{c1::What seizure types are occurring?}…
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02/10/2024
Assessment of Epilepsy is via {{c1::EEG}}
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Diagnosis of Epilepsy {{c1::History (Video Recording)}} {{c1::ECG in convulsive seizures (To rule out Long QT Syndrome)}} {{c1::Interictal or Ictal EE…
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02/10/2024
{{c1::Interictal or Ictal EEG}} is the Gold Standard for Confirmation of Epilepsy
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02/10/2024
First-line Treatment of {{c2::Generalised}} Epilepsy in Boys is {{c1::Sodium valproate}}
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02/10/2024
First-line Treatment of {{c2::Generalised}} Epilepsy in Girls is {{c1::Levetiracetam}}
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02/10/2024
First-line Treatment of {{c2::Partial/Focal}} Epilepsy is {{c1::Carbamazepine}}
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02/10/2024
When is Epilepsy labelled as Drug-Refractory Epilepsy?{{c1::If having tried two antiepileptic drugs and are still having seizures}}
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02/10/2024
Treatment of Drug-Refractory Epilepsy {{c1::Alternative antiepileptics e.g. levetiracetam, lamotrigene, perampanel}} {{c1::Steroids}} {{c1::Immunoglob…
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