This analysis investigates epilepsy risk factors and diagnostic methods in children, suggesting implications for future management.
Choose the most appropriate single answer.1. Symptomatogenic zone is defined as:A. Area of cortex that initiates or generates seizures.B. Cortical area producing non-epileptic dysfunction.C. Portion of the brain that produces the first clinical symptoms.D. Total area of brain that is necessary to generate seizures and that must be removed to abolish seizures.2. Saleh is a 2-year-old male who presented with a self-aborted generalized tonic clonic seizure, which lasted for few minutes with high-grade fever due to pharyngitis.His father who is now a mathematics teacher, used to have seizures with fever between ages 2-4 years.Saleh's mother is asking whether her child is going to be epileptic in future or not.Best response is that you would tell her that Saleh's risk of future epilepsy is A. 2-4% which is at least double the risk of that in normal population.B. The probability of not developing epilepsy is 96-98%.C. 30% chance that he becomes epileptic.D. There is no way to predict future risk.3. You are evaluating a 10-year-old developmentally appropriate boy in your clinic for 2 episodes of protracted confusion.Father claimed that, his head was shaking from side to side and he was partially responsive during the 2 episodes.One of the 2 episodes lasted for more than 15 hours.His 35-year-old uncle is known to have epilepsy diagnosed at age 15 years and he is fairly controlled on valproic acid.Next step is:A. Arrange a non-urgent EEG in next few months.B. Ask the child to blow up a napkin for 3-5 minutes.C. Send the child for an MRI-Brain D. Thorough physical/
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Ali H. Alwadei (2017) studied this question.
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