CLTM Board Prep - The basics and more!

Temporal lobe epilepsy accounts for what % of all adult patients with epilepsy? - 60% The majority of seizures in the intensive care unit are: - non convulsive What type of resection is associated with medial temporal sclerosis? - Temporal lobectomy The safest AED for pregnant women - Lamictal Hypsarrhythmia is a pattern most often associated with - Infantile spasms Expressive speech - Broca's area Vagus nerve stimulators are approved for use in patients with - partial seizures Phenobarbital shows what activity? - Beta Which medication is appropriate for treating status epilepticus? - Lorazepam Keto diet consists of - high fat, low carbohydrates, adequate protein Bolus of Propofol will cause: - burst suppressionHow often should Stimulation assessment be made on patients monitored in the ICU? - Daily The greatest utility of CEEG is in the ICU patients with: - Unexplained "spells" such as variations in vital signs or twitching WADA testing, also known as intracarotid amobarbitol procedure is performed for: - Language and memory lateralization What less invasive test for language and memory has decreased the number of WADA tests that are being conducted? - fMRI PET - hypometabolism The intracarotid ambarbital test is used to determine cerebral dominance for: - language and memory function WADA is associated with: - language function What does PET stand for? - Positron Emission Tomography Cerebral angiography prior to intracarotid amobarbital testing is necessary to assess - arterial blood flow SPECT stands for: - Single Photon Emitted Computed Tomography Which type of procedure is involved during the preoperative diagnostic WADA test? - AngiographyPET studies in a child with Rasmussen's encephalitis will most likely demonstrate: - Widespread hemispheric hypometabolism As part of the pre-surgical work-up, this magnetic source localization is used for spatial and temporal functional mapping of interictal epileptiform discharges - MEG **PET studies in a patient with left temporal lobe epilepsy will most likely show - Decreased glucose uptake Intracarotid injection of Amobarbital procedures are associated with: - ipsilateral hemispheric dysfunction and transient contralateral paralysis The interictal SPECT may show focal - Hypoperfusion The goal of cortical stimulation during functional mapping is to: - identify eloquent cortex during a WADA test activities on one side of the brain are suspended for approximately - 4-8 minutes The best imaging study for assessing hippocampal sclerosis - MRI WADA is associated with what memory? - Short term memory