Seizure Concept Map

Seizure Concept Map
causes
Epilepsy
idiopathic (7080%)
Secondary
Cerebral dysgenesis / malformation
Cerebral vascular occlusion
Cerebral damage
congenital infection
hypoxicischaemic encephalopathy
intraventricular haemorrhage
ischaemia
Cerebral tumour
Neurodegenerative disorder
Neurocutaneous syndromes
Nonepileptic
Febrile convulsions
Metabolic
Hypoglycaemia
Hypocalcaemia / hypomagnesaemia
Hypo / hypernatraemia
Head trauma
Meningitis / encephalitis
poisons / toxins
precipitating factors
Fever
Fatigue
Emotional stress
Drug e.g theophylline
Conditions that mimic seizures
night terrors 1 3 %
child screams
dilated pupil
amnesia
emotional
Breath holding attack
cyanotic
pallid
prolonged QT interval
Narcolepsy cataplexy
pseudo seizures
Treatment
anticonvulsant drug
Bendozodiazepines
Diazepam + Lorazepam
IV status Ep.
clonazepam + Nitrazepam
oral myoclnic Ep.
carbamazepine "tegretol"
partial & Generalized Ep.
Ethusuximide
Absenc Ep.
phenobarbitone "luminal"
Generalized Ep. & status Ep.
valproic acid "depakene"
Generalized Ep. & Absenc Ep. & myoclnic Ep.
ACTH
infantile spasm
Lamotrigine
complex partial & Generalized tonicclonic
vigabantin
infantile spasm
Topamax
spectrum anticonvlsant
investigation
CBC
Bld sugar
Bld gases
electrolyte
Bld Ca
Bld Na
EGG
MRI scan
CT scan
LFT
Drug level
10