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EEG 211 Final Exam Review Questions With Solutions Epilepsy with a recognizable constellation of onset age, seizure type, etiology and prognosis. Epilepsy Syndrome Any condition with recurrent seizures that are not due to transient provoking factors. Epilepsy Sudden excessive discharges of neurons in the brain. Seizures In case 2, what is the most recent approved AED? Rufinamide

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EEG 211 Final Exam Review Questions With
Solutions

Epilepsy with a recognizable constellation of onset age, seizure type, etiology and prognosis.

Epilepsy Syndrome




Any condition with recurrent seizures that are not due to transient provoking factors.

Epilepsy




Sudden excessive discharges of neurons in the brain. Seizures




In case 2, what is the most recent approved AED? Rufinamide




Describes cases of epilepsy where the cause is unknown but a lesion and distinct pathogenesis is

presumed. Cryptogenic




Describes cases of epilepsy in which the disorder is due to a known cause. Symptomatic




Indicates that no apparent cause and no brain lesion can be found. Idiopathic

,EEG 211 Final Exam Review Questions With
Solutions
Felbamate in children under the age of 12 may cause: weight loss




Sudden loss of muscle tone and often referred to as drop attacks? Atonic




May experience strange sensations, focal twitching or jerking; consciousness is not impaired?

Simple Partial




Disorder of the nervous system that leads to developmental reversals, especially in the areas of

expressive language and hand use. Rett Syndrome




Smooth brain is called: Lissencephaly




Repeated uncontrollable movements associated with a complex partial seizure?

Automatisms




Temporary alteration of brain function caused by paroxysmal cerebral neuronal discharge?

Seizure

,EEG 211 Final Exam Review Questions With
Solutions
Which medication usually renders seizure freedom for 3/second spike and wave?

Ethosuximide




Partial seizures, progressing to epilepsia partialis contunua. EEG shows initally focal spikes then

focal slowing and seizures. Poor prognosis. Most develop hemiparesis, hemiatrophy on EEG.

Rasmussen Syndrome




Facial Port Wine Stain birthmark, cerebral atrophy, focal seizures, progressive, hemiparesis,

mental handicap. Sturge-Weber Syndrome




Seizures consist of visual hallucinations or transient blindness, often with a prominent post-ictal

headache. Consciousness may be preserved throughout. Frequent seizures, may be daily, may be

misdiagnosed with migraine. EEG shows occipital spikes abolished on eye opening and often

activated by photic stimulation. Prognosis fair, 60% spontaneously remit. Benign

Childhood Occipital Epilepsy Gastaut Type




Brief staring spells and myoclonic jerks, especially on waking. Generalized tonic clonic seizures

as well. May be photic sensitive. 3-4 per second polyspike and slow wave complexes shown on

EEG. Prognosis excellent for control on medication but is a lifelong condition. Juvenile

Myoclonic Epilepsy

, EEG 211 Final Exam Review Questions With
Solutions

Prolonged complex partial seizures with prominent autonomic features such as nausea or pallor.

Half of seizures last more than 30 mins, typically starting with staring, confusion, eye deviation,

loss of consciousness and or generalized tonic clonic. EEG shows occipital spikes abolished by

eye opening. Good prognosis. Benign Childhood Occipital Epilepsy Panayiotopoulos

Type




Seizures consisting of twitching of one limb or face, drooling and occur in sleep. Often

conscious during seizure, may progress to generalized tonic clonic seizure. EEG shows

centrotemporal spikes activated by sleep sometimes with frontal positive dipole. Prognosis

excellent, many remit by early adolescence. Benign Rolandic Epilepsy




Staring spells, lasting less than 1 min usually, often with eye blinking. 50% also have generalized

tonic clonic seizures. EEG shows 3 per second spike and slow wave pattern and is activated by

hyperventilation. Prognosis is good, usually remits in adolescence. Childhood Absence

Epilepsy




Seizures may contain vocalizations and arise from sleep, thrashing, trunk and leg automatisms, if

from motor cortex -focal clonic seizures, if from supplementary motor area - bilateral tonic

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