Differentials “SICK DRIFTER” Medications (partial list) Vital Signs Metabolic Bupropion, Camphor, Clozapine, Cyclosporine, Fluoroquinolones, Imipenem, Isoniazid, Lead, LidocaineLithium, Metronidazole, TheophyllineTCAs , Baclofen Hypoxia HyperthermiaHTN Emergency Hepatic Encephalopathy UremiaHypoglycemia Hyperglycemia Withdrawal Syndromes Infectious CNS Abnormalities Alcohol AEDsBenzoz EncephalitisCNS AbscessMeningitis Traumatic Brain InjuryTIASAHCVATraumatic ICH SOL  (i.e. Tumor) Electrolytes mimic seizures Pseudoseizures HypocalcemiaHypercalcemiaHyponatremiaHypomagnesaemia EclampsiaMigraine prodromeNonepileptic seizures/ pseudoseizuresSyncopeAcute…

The big issues are… PubertyMenstruationMenopause ContraceptionPregnancy & Breast feedingPolycystic Ovaries Disease Puberty and Epilepsy Menstruation and Epilepsy Menopause Contraception Antiepileptics that interferes with the OCP Antiepileptics that DO NOT interfere with the OCP CarbamazepinePhenytoinPhenobarbitonePrimidoneTopiramateOxcarbazepineClonazepamClobazam Sodium valproateGabapentinLamotrigineTiagabineLevetiracetamVigabatrinEthosuximide → additional contraceptive methods are strongly recommended.  Pregnancy Epilepsy and Babies: Key Points Healthy…

Classification of Seizures (isuri notes…) Partial Seizures    – occur within discrete regions of the brain Simple Partial Seizures (jaksonian epilepsy) Complex Partial Seizures Partial Seizures with Secondary Generalisation Generalised Seizures    – arise from both cerebral hemispheres simultaneously Absence Seizures (Petit Mal) Atypical Absence Seizures Clinical Feature Absence Seizures…