Clinical Epilepsy

Auras are

The EEG pattern shown above is most consistent with

Complex partial seizures are generally characterized by

Acute seizures can be precipitated by the following factors

Regarding evaluation after the first seizure, which of the following statements is INCORRECT

Patients who have had a new-onset seizure should undergo an EEG and, with certain definable exceptions, neuroimaging.
Bites on the side of the tongue or cheek, and urinary and/or fecal incontinence, are more common after seizures than after loss of consciousness from other causes.
A normal EEG excludes the diagnosis of epilepsy.
Lumbar puncture is essential if there is any suspicion of CNS infection.

The lesion seen in this image is most consistent with

Which of the following statements about Benign partial Epilepsy with Centrotemporal Spikes (BECTS) is NOT correct

It is the most common epilepsy syndrome in childhood.
Upto 25% of patients develop secondarily generalized seizures.
Centrotemporal spikes are the electrographic hallmark of the syndrome and indicate focal seizure origin from perirolandic cortex.
It is usually a lifelong condition.

Which of the following statements about childhood absence epilepsy is NOT correct

Which of the following statements regarding the management of pediatric epilepsy is NOT correct

Adverse effects and toxicity are often the major determinant of antiepileptic drug (AED) selection.
The long-term prognosis of refractory epilepsy is good and often does not affect normal adult functioning.
Administration of AEDs while feeding should be avoided in the infant and young child.
Earlier seizure alleviation contributes to a greater reduction in psychosocial morbidity and improved quality of life.

Which of the following statements is correct regarding pregnancy and epilepsy

A majority of women will have improved seizure control during pregnancy.
Most of the women can come off seizure medications during pregnancy.
A major concern of women of childbearing age is the teratogenic potential of AEDs.
Folate administration during pregnancy can increase the risk of teratogenic defects.

Which of the following statements regarding the non-epileptic seizures and imitators of epileptic seizures is NOT correct

Diagnosis of psychogenic seizures is best established by recording typical attacks with video-EEG, although limitations of this technique must be kept in mind.
Preserved consciousness with bilateral tonic or clonic movements, side-to-side roling, pelvic-thrusting are diagnostic of psychogenic seizures
Psychogenic seizures do not respond to antiepileptic drugs as well as epileptic seizures.
10-40% of patients with psychogenic seizures also have epilepsy.

Which of the following sholud be avoided in the first aid for generalized tonic-clonic seizures?

Turn patient on his side with head inclined towards groud.
Do not restrain patient after seizure unless needed to prevent imminent injury.
Put a rigid object in the patient’s mouth or hold the tongue.
If multiple seizures occur or a seizure lasts longer than 5 minutes, treatment for status epilepticus should unsue.

Which of the following seizures are often provoked by hyperventilation, an effective means of reproducing seizures in the office or during the EEG?