Shared Flashcard Set

Details

Pathophysiology
Seizures
35
Biology
Not Applicable
05/06/2008

Additional Biology Flashcards

 


 

Cards

Term

As the intensity of seizure discharge progresses sufficiently, it may spread to what 3 types of brain nuclei?

Definition
  1. cortical
  2. thalamic
  3. brain stem
Term
Name two causes of seizures:
Definition

(i) genetic

(ii) injuries to brain

Term

Are seizures a disorder or a disease?

Definition
disorders
Term

Name 3 manifestations of seizures:

Definition

(i) sensory

(ii) motor 

(iii) autonomic

Term
 Name the type of seizure manifestation in which lesions may appear in parietal lobe and provoke focal sensory seizures; numbness, tactile or visual symptoms; pins and needles
Definition
sensory
Term
Name type of seizure manifestation that originate in premotor cortex and cause voluntary movement of contralateral limbs(Jacksonian type )

                          

Definition
motor
Term
Name type of seizure manifestation in which the nervous system is involved.
Definition
autonomic
Term

Name  three theories as to why abnormal brain activity occurs?

Definition

(i) Alterations in cell membrane permeability

(ii) decreased inhibition of cortical or thalamic activity or structural changes;

(iii) deficiency in alpha aminobutyric acid (GABA) or excess acetylcholine

Term
What are the key differences between provoked and unprovoked seizures?
Definition
  • Unprovoked causes are unknown and but could be genetic
  • Provoked (symptomatic) --- causes are known, e.g., febrile seizures, a fever of 104 F, Electrolyte imbalances, hypoglycemia
Term
Name two types of epileptic syndrones:
Definition

(i) Partial

(ii) Generalized.

Term

____ epileptic syndromes occurs in one cerebral hemisphere in a specific area; limited to one partial area

Definition

Partial

Term
____ epileptic syndromes occurs simultaneously in both cerebral hemispheres
Definition
Generalized
Term

Name three types of partial seizures

 

Definition

(i) simple partial seizures

(ii) complex partial

(iii) secondarily generalized partial seizures

Term

Name seizure type described below:

  • aka focal seizures
  • occurs without loss of consciousness
  • motor, sensory, autonomic, psychic manifestations accompany simple partial seizures
  • motor activity may include: twitching or loss of muscle tone
Definition
Simple partial seizures
Term
During a simple partial seizure, if ____ is involved, the symptom may correspond to contralateral side of brain
Definition
motor area
Term

_____ seizure is a convulsive movement that begins in distal extremity and progresses medially; e.g., starts at foot, moves to leg and down arm and to face; Or, begins in hand moves to face and then to leg

Definition
Jacksonian
Term
During a simple partial seizure, If ____ is involved, no observable clinical manifestations may be seen; but tingling, numbness, visual, auditory, gustatory, olfactory phenomena  may be felt
Definition
sensory portion of brain
Term
During a simple partial seizure, if _____ is involved, flushing, tachycardia, hypo – or hypertension or papillary changes may be observed
Definition
autonomic nervous system (electrical discharge in the cortex)
Term
In ____ seizures, there are impending signs of oncoming seizure
Definition
psychic
Term
In psychic seizures, the victim experiences hallucinations. It is a warning of oncoming seizure. Hallucinations include: taste, smell, flashes of lights. These are referred to as ___ or ____.
Definition

aura

prodrome

Term
Simple partial seizures may progress and become ____
Definition

(i) complex partial seizures

(ii)tonic-clonic seizures with resulting unconsciousness

Term

____ are calledTemporal Lobe Seizures or Psychomotor Seizures

Definition
COMPLEX PARTIAL SEIZURES
Term
____ seizure occurs with loss of consciousness
Definition
Complex Partial Seizure
Term

During _____seizures, clinical activity displayed depends upon the part of the cortex from which the seizure originated.

Definition
complex partial
Term

Name seizure type described below: 

  • temporal lobe is involved
  • two hemispheres are involved
  • brain waves in temporal lobes are extremely rapid
  • victim becomes disoriented; exhibits bizarre behavior
  • exhibits uncontrolled MOTOR activity of ISOLATED MUSCLE groups
  • déjà vu (familiarity with unfamiliar environment, or
  • jamai vu (unfamiliarity with familiar environoment).
Definition
Complex Partial
Term

During a ____ seizure, the onset is focal (in an area, therefore simple) but spreads and becomes generalized (as electrical discharge spreads)

Definition
SECONDARILY GENERALIZED PARTIAL
Term
A secondarily generalized partial seizure affects what two deeper brain structures?
Definition
thalamus and reticular nuclei
Term

_____ inhibition intermittently interrupts discharge and converts tonic phase to clonic

Definition
diencephalocortical
Term

In a ____ seizure, consciousness is impaired;

Definition
generalized
Term

 Name the four categories of generalized seizures:

Definition

(i) absence seizures;

(ii) atonic seizures;

(iii) myoclonic seizures;

(iv) tonic-clonic seizures

Term

Name type of seizure described below 

  • petit mal seizures (mild form)
  • generalized, non-convulsive
  • occurs in childhood and disappears in adulthood
  • manifestation: child’s expressions goes blank, appears day dreaming, motionless (but motion may occur in some cases), unresponsiveness
  • lip smacking seen
  • also clonic (e.g., eyelids), facial muscles may twitch
  • some loss of contact with environment
  • seizure lasts few seconds
  • hypothalamus and thalamus involved and show depressed brain wave, abt. 3 Hz
Definition
absence
Term

___ seizure similar to absence seizures except for muscle tone alteration and onset and cessation

Definition
atypical absence
Term

A ____ seizure is characterized by sudden loss of muscle tone, leading to slackening of jaw, drooping of limbs, falling to ground

Definition

Atonic  (drop attacks)

Term

Name seizure described below:

  • involuntary muscles are briefly contracted due to stimuli originating in cerebral hemispheres.
  • muscles jerk generally or in specific areas (e.g., face)
  • muscles become rigid,
  • muscles react by violent contractions
  • limbs become straight
  • major muscle groups contract and relax repeatedly (clonic)
Definition
Myoclonic seizure
Term

Name seizure described below:

  • aka grand mal seizures
  • most severe
  • rapid brain waves of 30 Hz or more
  • sharp tonic contraction of  muscles
  • consciousness lost
  • convulsions are intense
  • bowel/bladder movement lost
  • biting of tongue common
  • seizures last few minutes
  • tonic phase followed by clonic phase
Definition
Tonic-clonic:
Supporting users have an ad free experience!