FNU Week 3 Important Risk Factors Contributing to Epilepsy Discussion
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Epilepsy
LS is a 31-year-old woman who presents after a first-time seizure. The patient recalls experiencing
an unusual rising sensation in the abdomen accompanied by an unpleasant, brief, metallic taste
before losing awareness. Bystanders observed her to develop leftward head turning followed by
stiffening and rhythmic jerking of her limbs. She appeared disoriented for 15 minutes following the
event but steadily recovered to baseline functioning.
Past Medical History
ebrile convulsion in childhood following pneumonia at the age of 10
o birth-related or developmental complications Medications
luoxetine, 40 mg once daily Family History
ncle with alcohol-associated withdrawal seizures
Labs
lectrolytes: Normal
lood glucose level: Normal
rine toxicology screening: Negative
Discussion Questions
1. What is an important risk factor that might have contributed to LSàepilepsy?
2. Initial workup reveals normal electrolytes, normal blood glucose level, and negative urine
toxicology screening. Which diagnostic studies should be obtained to further understand the risk of
recurrent unprovoked seizures?
3. An EEG is obtained and shows epileptiform discharges over the right temporal head region. What
is the best next course of action in terms of antiseizure therapy?
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LS is a 31-year-old woman who presents after a first-time seizure. The patient recalls experiencing
an unusual rising sensation in the abdomen accompanied by an unpleasant, brief, metallic taste
before losing awareness. Bystanders observed her to develop leftward head turning followed by
stiffening and rhythmic jerking of her limbs. She appeared disoriented for 15 minutes following the
event but steadily recovered to baseline functioning.
Past Medical History
ebrile convulsion in childhood following pneumonia at the age of 10
o birth-related or developmental complications Medications
luoxetine, 40 mg once daily Family History
ncle with alcohol-associated withdrawal seizures
Labs
lectrolytes: Normal
lood glucose level: Normal
rine toxicology screening: Negative
Discussion Questions
1. What is an important risk factor that might have contributed to LSàepilepsy?
2. Initial workup reveals normal electrolytes, normal blood glucose level, and negative urine
toxicology screening. Which diagnostic studies should be obtained to further understand the risk of
recurrent unprovoked seizures?
3. An EEG is obtained and shows epileptiform discharges over the right temporal head region. What
is the best next course of action in terms of antiseizure therapy?
Purchase answer to see full
attachment
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