Neurology

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Author:
vashti
ID:
117470
Filename:
Neurology
Updated:
2011-11-17 07:00:04
Tags:
paediatric neurology seizures epilepsy intracranial hypertension
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Description:
Questions about common paediatric neurological problems
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  1. What is the most common seizure type in benign childhood epilepsy with centrotemporal spikes (rolandic epilepsy)?
    Simple partial seizures with motor symptoms involving the face
  2. What is the age of onset of benign childhood epilepsy with centrotemporal spikes?
    3-13 years
  3. What are the EEG findings in benign childhood epilepsy with centrotemporal spikes?
    • centrotemporal sharp waves - biphasic waves in repetitive bursts markedly activated in non-REM sleep
  4. What is the seizure type in Panayiotopoulos syndrome?
    Seizures with prominent autonomic features - vomiting, pallor, miosis, incontinence, coughing, hypersalivation
  5. What are the EEG finding in Panayiotopoulos syndrome?
    • Normal or normal background with high amplitude sharp and slow wave complexes similar to rolandic sharp waves. All brain regions involved with posterior predominance
  6. What is the prognosis of Panayiotopoulos syndrome?
    Infrequent seizures that remit within 3 years of onset
  7. What is the mean age of presentation of benign occipital epilepsy of childhood?
    8-9 years (range 3-16 yrs)
  8. What is the seizure type in benign occipital epilepsy?
    • Visual symptoms - blindness or visual hallucinations.
    • Hemiclonic activity, automatisims, migraine-like headache and versive movements can also occur
  9. What are the EEG findings in Benign occipital epilepsy?
    Occipital sharp and slow wave complexes markedly activated by eye closure
  10. What are the clinical symptoms of raised intracranial pressure?
    • Headache - noctural awakening or early morning, worsened by cough, micturition or defecation, recurrent or localised, progressively worsening
    • Vomiting
    • Altered level of consciousness
  11. What is the normal intracranial pressure?
    • <15mmHg
    • >20mmHg considered to be elevated ICP

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