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Exam (elaborations)

CLTM Epilepsy Disorders Exam 2024 Answered 100% Correct

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CLTM Epilepsy Disorders Exam 2024 Answered 100% Correct Angelman Syndrome SZ onset - answer1-3 years Angelman Syndrome SZ type - answerall; myoclonic and absence most common Angelman Syndrome treatments - answerdifficult to control with AEDs, ketogenic diet and VNS can be tried ADNFLE - answerAutosomal Dominant Nocturnal Frontal Lobe Epilepsy ADNFLE sz onset - answerbetween 1-60 years, most often before 20 yrs ADNFLE sz type - answerfrequent, brief, hypermotor sz during sleep ADNFLE is acquired: - answerusually inherited ADNFLE treatment - answerAEDs: most often with OXC, CAR; 30% resistant to AEDs ADNFLE outlook - answerlifelong, but not progressive, most are intellectually normal Benign Rolandic Epilepsy (BRE or BECTS) sz onset - answer3-13 years, average 6-8 years BRE tx - answermany don't need meds; AEDs of choice: OXC, CAR, GAB, ZON, LEV, LAC BRE prognosis - answerszs usually stop by 15 yrs of age CDKL5 disorder - answernervous system and cognitive development issues mutation in Rett syndrome F>M CDKL5 disorder sz onset - answer3-6 months CDKL5 disorder EEG - answerinitial is normal or BS, hyppsathythmia may be seen later on CDKL5 disorder sz types - answerinfantile spasms, myoclonic, tonic, tonic- clonic; only seen in sleep early on CDKL5 disorder tx - answerAEDs, steroids, ketogenic diet, VNS, surgery Childhood Absence Epilepsy sz onset - answer3-11 years old, usually 5-8 years old Childhood Absence Epilepsy tx - answerethosuximide (Zarontin) #1 choice; also, valporate, lamitrogine Childhood Absence Epilepsy prognosis - answerin 2/3 of pts, szs resolve in adolescence, 10-15% will develop new szs (usually myoclonic or GTC) Doose Syndrome (Myoclonic-astatic epilepsy) sz onset - answer7 months-6 years; most 2-4 years Doose Syndrome gender preferred? - answerM>F Part of GEFS+ (febrile szs plus) - answerDoose Syndro

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