Neurology — Flashcards

Flashcard 251: LOC, rhythmic, bilateral jerking without preceding tonic phase = _____ seizures

Answer: clonic

Flashcard 252: Localised symptoms / aura to generalised tonic-clonic = _____ seizure

Answer: focal to bilateral tonic clonic

Flashcard 253: "drop seizures" with sudden loss of muscle tone < 15 seconds = _____ seizure

Answer: atonic

Flashcard 254: Bus, coach, or lorry drivers with a single seizure cannot drive for _____, with epilepsy it is 10 years

Answer: 5 years

Flashcard 255: If patient is withdrawing from epileptic medication they cannot drive for _____ after last dose

Answer: 6 months

Flashcard 256: Sudden, muscle stiffening lasting <1min occuring when the patient is drowsy, asleep, or after waking with rapid recovery = _____ seizures

Answer: tonic

Flashcard 257: Myoclonic seizures anti-epileptic drugs\n1st-line (Drug of Choice): _____\nAlternative/1st-line in females: Levetiracetam

Answer: Sodium Valproate

Extra: Note: Lamotrigine should be avoided or used with caution in myoclonic seizures as it may exacerbate myoclonic jerks. Voluntary choice of Valproate is first-line except in women of childbearing age where Levetiracetam is preferred.

Flashcard 258: _____ cannot be given to women because of teratogenicity

Answer: Sodium valproate

Flashcard 259: Following an epileptic seizure, the patient is generally restricted from driving for _____.

Answer: 12 months

Flashcard 260: What is the most useful investigation for classifying and localizing seizure activity in epilepsy? _____

Answer: EEG