maintenance UPDATED ACTUAL Exam
Questions and CORRECT Answers
seizure freedom from MTS resection - CORRECT ANSWER - 75%
schizencephaly - CORRECT ANSWER - open goes to ventricles
closed does not go to ventricles
abnormal cortex up to the split
neural migration deficit
BCECTS or benign rolandic epilepsy - CORRECT ANSWER - 4 to 10 years
during sleep
semiology: perioral paresthesias and ipsilateral facial myoclonus, as well as excessive salivation,
speech arrest, and guttural noises.
EEG ihigh-amplitude, blunt, centrotemporal spikes with increased frequency during sleep.
Different from panayiotopolous which is also during sleep put + autonomic features, emesis, and
tonic eye deviation
progressive myoclonic epilepsy causes - CORRECT ANSWER - can be associated with
cognitive decline and can be genetic +/- metabolic
-sialidosis (enzyme analysis)
-tay sachs
-MERFF (muscle bx)
-lafora body disase
-neuronal ceroid lipofuscinosis (skin bx for these 3)
-unverricht Kundborg, DRPLA (genetic testing)
SCN1A Gene - CORRECT ANSWER - severe myoclonic epilepsy of infancy. (Dravets).
, can have febrile status that is hemiconvulsive
Then develop unprovoked GTC.
Can develop ataxia
Development starts normal and then worsens after seizures
ATN1 Gene - CORRECT ANSWER - DRPLA
(japenese and some AfAm in america)
AD
trinucleotide repeat
myoclonus/cogntive and emotional changes.
epilepsy with grand mal seizure on awakening - CORRECT ANSWER - IS a real sz type
of idiopathic generalized seizure
EEG with genl discharges and photosensitivity
CACNA1A - CORRECT ANSWER - multiple phenotypes: sporadic and familial migraine
-episodic ataxia
-SCA type 6
TSC1 - CORRECT ANSWER - Tuberous sclerosis
ADNFLE - CORRECT ANSWER - Autosomal Dominant Frontal Lobe epilepsy
- dx base on hx alone
When to do a skin bx for epilepsy - CORRECT ANSWER - when progressive and with
cognitive decline