Seizures & Epilepsy

1.A 20 year old post-natal women, who delivered one week back , presents with Headache since one week, seizures since two days and altered sensorium since morning.

• a) What is the probable diagnosis and differential diagnosis
• b) How do you investigate this patient
• c) What are the risk factors for this condition
• d) How do you manage this patient
• e) What are the complications of this condition

2.A 40 years old male presented with twitching of right upper limb followed by tonic clonic convulsions. On examination patient has tongue bite and post ictal confusion and headache. Answer the following:  What is your diagnosis  Classify seizures  Where is the probable lesion  How will you manage this patient

3.25 years old female from a village brought to casualty in drowsy state following seizures. On examination, pulse rate is 50 per minute, pupils pin point and breath smells of kerosene like compound. SPo2 75%, with bilateral crackles on chest auscultation. Answer the following • What are the differential diagnosis for pin point pupils. • What is the pathophysiology of organophosphorous compound poisoning. • How will you manage this patient

1.Status Epilepticus

2.Epilepsy

1.Drugs used in status epilepticus

2.Name two anti-epileptic agents and two side effects of each

3.Side effects of anti-epileptics

4.Name four antiepileptic drugs and one side effect for each

5.Newer antiepileptic drugs

6.Trigger factors for seizures

7.How do you investigate a suspected case of epilepsy

8.Indications of carbamazepine

9.Mention four new antiepileptic drugs