Pediatric Seizure

Benign childhood epilepsy with centrotemporal spikes usually has its onset at infancy.

• True

• False

Identification: Dravet syndrome is usually caused by mutations in _____ gene.

Seizure which presents with flaccidity

• Tonic

• Clonic

• Atonic

• Myoclonic

Rabiya, a 2 year old female with no known comorbidities came in at the ER due to first episode of 1 minute seizure described as generalized stiffening of bilateral extremities. Patient had no history of fever, vomiting, LBM or change in appetite. You were asked by your resident if an EEG is needed in this case. Your answer should be

• Yes

• No

Which is NOT a typical characteristic of simple febrile seizure?

• Seizure lasting 5 minutes

• Stiffening of right upper and right lower extremities

• associated with temperature 38.5

• Not recurrent within 24 hours

Major risk factor for recurrence of febrile seizure

• Age 10 months old

• Maternal

  history of febrile seizure

• Male gender

• Serum sodium 128

Lumbar puncture is indicated for ALL patients younger than six months with fever and seizure

• True

• False

A one year old patient was brought to ER due to first episode of 1 minute generalized tonic clonic seizure. On examination, patient was drowsy highly febrile at 39.5. On history, there were 3 episodes of watery stools. No vomiting, head trauma, cough or colds. Which of the ff should you request?

• Plain Cranial CT scan

• MRI

• EEG

• None of the above

Peak age of febrile seizure

• 6-12 months

• 12-18 months

• 18-24 months

Which among the following has the highest risk for subsequent epilepsy?

• Simple

  febrile seizure

• Family history of epilepsy

• Fever <1 hr before febrile seizure

• Neurodevelopmental abnormalities