EPILEPSY

While at school, a 6-year-old boy is noted by his teacher to experience 10- to 20-second lapses in consciousness, sometimes with twitches in the eyelids and clonic movements in the face. Electroencephalography shows 3 per second generalized spike and wave discharges. The most likely diagnosis is :

• Complex Partial Seizure

• Juvenile Myoclnic Epilepsy

• Childhood Absence Epilepsy

• Tics disorders

A previously healthy and developmentally normal 18-month-old boy presents with status epilepticus. There is no past or family history of seizures. The child is stabilized, and the seizure stopped . Subsequent physical examination reveals a playful child who has a temperature of 39.2ºC and nasal discharge. Findings on the remainder of the examination are normal. The MOST likely diagnosis is

• Bacterial meningitis

• Cortical dysplasia

• Febrile seizure

• Hypoglycemia

An otherwise healthy 11 months old girl has had several episodes in which she becomes cyanotic and loses consciousness after crying. She is brought to ER 1 hour after an episode. She is alert, takes a few steps, and says "mama" to her mother. The physical examination findings are normal. What is the most appropriate lab test you will do for her

• Electroencephalography ( EEG )

• Electrocardiography ( EKG)

• Complete blood count ( CBC)

• CT Brain

All the following patients are high risk for developing recurrent seizures except

• First seizure with a prolonged post-ictal state

• Simple partial seizure

• Status Epilepticus

• Lesion on CT or MRI brain

AEDs that have shown efficacy for Absence seizures (Drug of Choice) ?

• Ethosuximide

• Lamotrigine

• carbamazepine

• Valproate

AEDs that have shown efficacy for myoclonic

seizures except

• carbamazepine

• Clonazapam

• Lamotrigine

• Valporate

Lennox-Gastaut Syndrome is characterized by the following manifestation except

• childhood onset epilepsy

• congenital malformation

• slow spike-wave EEG

• more than one type of epilepsy

Risk Factors for development of epilepsy in

febrile convulsions include the following except

• Family history of a febrile convulsion

• Generalized

• Recurrent febrile seizures

• Febrile seizure onset in first year

Approximately ------ percentage of patients who have a first afebrile seizure may have later epilepsy?

• Zero

• 10%

• 30%

• 50%

Seizures that are usually precipitated by a sensory stimulus such as flashing light are called as?

• Unprovoked seizure

• Remote Symptomatic siezure

• Reflex seizure

• Epilepsy