Reference no: EM133859677
Assignment:
The amount of muscular strength possessed by an 80-year-old man who has remained physically active would be considerably more than that of his fragile friend who has led a confined life because of his dislike of activity. There are, therefore, many difficulties in establishing criteria for health in terms of absolute values.
1. Does a delay in controlling seizures result in more frequent seizures and a more resistant epileptic disorder? And, if so, does this apply to all seizure types?
2. What genetic tests are recommended for epilepsy and Huntington's disease?
3. Is it useful to take an electroencephalograph (EEG) after a patient's first-ever seizure and, if so, when is the best time to do so? Would you recommend taking an EEG after every seizure and before diagnosis?
4. How often can drop attacks with loss of consciousness be due to atonic fits in the absence of any other type of fit?
5. How often are atonic fits the cause of falls with loss of consciousness in a patient not suffering from any other type of seizure?
6. Can mild anaemia (haemoglobin 10.8 g/dL) in a young female cause syncopal attacks that are preceded by a sense of falling, followed by a loss of consciousness and drowsiness for up to 1 hour? Do these data favour complex partial seizures rather than syncope?
7. I am confused between simple and complex partial seizures. Does the loss of consciousness define complex partial seizures in an otherwise what seems to be 'simple partial' clinically?
8. What is the definition of accepted rather than complete control of seizures in both partial and generalized tonic clonic seizures?
9. In an otherwise normal adolescent patient with no history of drug or alcohol intake, is it recommended that anti-epileptic drugs be started after the first generalized tonic-clonic fit?
10. Do the antiepileptic drugs decrease libido in the long term? If they do, what treatment is recommended?