Y4 Epilepsy Flashcards Preview

Y2 Neurology > Y4 Epilepsy > Flashcards

Flashcards in Y4 Epilepsy Deck (8)
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1
Q

state some diagnostic signs that would suggest seizure over syncope?

A
Aura
􏰀 Specific trigger: e.g. flashing lights
􏰀 Lateral tongue biting (> incontinence)
􏰀 Typical movements: e.g. tonic-clonic
􏰀 Cyanosis
􏰀 Post-ictal phase
2
Q

should epilepsy be diagnosed after one seizure ?

A

no

3
Q

what are some SEs of lamotrigine?

A

Diplopia, blurred vision

skin rash - may develop into SJS

4
Q

what are some SEs of valproate ?

A
Appetite ↑ 
􏰀 Liver failure: monitor LFTs over 1st 6mo
􏰀 Pancreatitis
􏰀 Reversible hair loss
􏰀 Oedema
􏰀 Ataxia
􏰀 Teratogenicity, Tremor, Thrombocytopaenia
􏰀 Encephalopathy: due to ↑ ammonia
5
Q

what are SEs of carbamazepine ?

A

􏰀 Leukopenia
􏰀 Skin reactions
􏰀 Diplopia, blurred vision
􏰀 SIADH → hyponatraemia

6
Q

what are the SEs of phenytoin?

A
􏰀 Gingival hypertrophy
􏰀 Hirsutism
􏰀 Cerebellar syn.
- 􏰁 Ataxia
􏰁-  Nystagmus 􏰁 
- Dysarthria
􏰀 Peripheral sensory neuropathy
􏰀 Diplopia
􏰀 Tremor
7
Q

what investigations should be done for a first seizure?

A
Basic bloods: FBC, U+Es, glucose
􏰀 Se ↑ Prl 10min after fit (relative to baseline)
􏰀 Se AED levels
􏰀 Urine toxicology
􏰀 ECG
8
Q

what are two contraindications of phenytoin ?

A

CI: bradycardia or heart block