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Question

Consider the following with regard to trigger factors for seizures : 

1. Flickering lights 

2. Recreational drug misuse 

3. Non-compliance to treatment with antiepileptic drugs 

4. Sleep deprivation 

Which of the factors given above are correct?

The correct answer is
1, 2, 3 and 4

Seizure Trigger Factors Explained

Seizures can be triggered by various factors that lower the brain's seizure threshold. Let's examine the factors provided:

  • 1. Flickering lights: This is a well-known trigger for individuals with photosensitive epilepsy. The pattern and intensity of flashing lights can induce seizures in susceptible individuals.
  • 2. Recreational drug misuse: Certain drugs (e.g., stimulants like cocaine or amphetamines) can directly increase neuronal excitability. Withdrawal from drugs like alcohol or benzodiazepines can also precipitate seizures.
  • 3. Non-compliance to treatment with antiepileptic drugs (AEDs): Skipping doses or stopping AEDs allows drug levels to fall below therapeutic ranges, increasing the likelihood of seizure recurrence.
  • 4. Sleep deprivation: Lack of adequate sleep is a common trigger. It disrupts normal brain function and significantly lowers the seizure threshold, making seizures more likely.

Conclusion on Trigger Factors

All the factors listed – flickering lights, recreational drug misuse, non-compliance to AED treatment, and sleep deprivation – are recognized triggers for seizures in susceptible individuals.

Therefore, factors 1, 2, 3, and 4 are all correct.

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Important Questions from Epilepsy

  1. Focal seizures may be associated with which of the following? 

    1. Jacksonian march 

    2. Todd's paralysis 

    3. Epilepsia partialis continua 

    Select the correct answer using the code given below.

  2. Typical absence seizures are characterized by
  3. In a young epileptic woman wishing to use oral contraceptive agents, which of the following drugs is not an ideal agent?
  4. Which of the following is not useful in the management of status epilepticus?
  5. Match List I with List II and select the correct answer using the code given below the lists: ​

    List I (Drugs for Epilepsy)   List II (Side Effects - Dose Dependent)
    A. Sodium valproate1. Raised liver enzymes
    B. Carbamazepine2. Hirsutism
    C. Phenytoin3. Hyperactivity
    D. Phenobarbitone4. Drowsiness
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