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A 2 month old infant presents with tonic spasms and myoclonic seizures.
Describe EEG?
Which of the following pediatric epilepsy syndromes does this patient have?
A) Ohtahara syndrome
B)Benign rolandic epilepsy
D) Lennox-Gastaut syndrome
E) Landau-Kleffner syndrome
Burst suppression
Otahara syndrome
Benignrolandic
Contraindicated carbamazepine
A 3 year-old boy presents to your clinic for evaluation. He is developmentally delayed, and has had
seizures for the past 2 years. Seizure types include generalized tonic-clinic, atonic, tonic, and
absence.
Describe EEG?
Of the following treatments, which is most likely to have a beneficial effect in the treatment of this
boy's seizures?
A) Tiagabine
B) Oxcarbazepine
C) Primidone
D) Gabapentin
E) Topiramate
A previously bright 9 years old girl from a migrant family presented to outpatient clinic with Hx of
academic deterioration. Mum reports frequent dropping of cutlery. She was noted to have intermittent
jerking of arms and legs
EEG and EMG attached
SSPE
Absence seizure
A 9 year-old girl presents to your office accompanied by her parents. The parents state that on 4
occasions over the past several months, the girl has come into their room in the early morning,
drooling and having difficulty talking, with a slight facial droop. These symptoms resolved fairly
quickly on both occasions. Then, this morning, she had a generalized motor seizure. There is no
significant past medical history, and no family history of epilepsy. The patient had a normal birth
history, and has consistently met her developmental milestones. Physical exam is normal. An EEG is
obtained, and is shown.
what is the most likely diagnosis and prognosis?
A 16 year old girl presents after having a generalized tonic-clonic seizure. She has noticed that,
when she brushes her teeth or combs her hair in the morning, she occasionally experiences a brief,
involuntary jerk in her upper extremities. Past medical history is otherwise unremarkable. Her father
was also diagnosed with epilepsy as a teenager, and remains on antiepileptic medication. Exam is
normal, an EEG, shown below.
Which of the following statements about the genetics of this syndrome is true?
A) This syndrome is associated with an abnormality on chromosome 9
10 year with behavioural disorder falling down frequantly and abnormal writting
Describe the eeg
Diagnosis
This EEG was recorded from an awake pediatric patient. What clinical features is this child most
likely to have?
A) Episodes of mouth twitching, drooling and speech arrest on awakening at night
B) Absence seizures
C) Mental retardation
D) Hemiballismus
E) Tremor
C hyptharrthymia ass with developmental delay and infantile spasm west syndrome
This is the EEG from a 10-year old patient in the ICU. He is intubated and unresponsive. What is the
diagnosis?
A) Locked-in syndrome patient
B) Absence epilepsy
C) Normal EEG
E) Alpha coma
An 8 year old girl presents to your office accompanied by her parents. The parents state that she has
been having frequent staring spells. Past medical history is otherwise unremarkable. There is no
family history of seizures. Exam is normal.
Describe EEG?
Of the following options, which agent is the best choice as a first-line monotherapy treatment?
No treatment is indicated
Phenytoin
Gabapentin
Carbamazepine
Ethosuximide
Encephalopathy
A 6 year old boy presents to your office. The parents state that the child has been having frequent
staring spells. Past medical history is otherwise unremarkable. There is no family history of seizures.
Exam is normal. You obtain an EEG, which shows the following finding:
Which seizure types are most frequently seen in this child's epilepsy syndrome?
A) Focal motor, generalized tonic-clonic, and myoclonic