Epilepsy is a condition characterized by repeated, spontaneous convulsions caused by disturbed electrical functions in the brain. In this quiz, we'll examine the causes and treatments for epilepsy and take a look at how this condition has been considered through the centuries.
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Question 2 of 21
What are the known causes of epilepsy?
drug abuse
elevated sodium levels
permanent injury or changes in brain tissue
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Permanent injury or changes in brain tissue can cause epilepsy, but most people with epilepsy have no brain abnormalities. Seizures caused by temporary conditions such as low blood sugar or drug use are not considered epileptic.
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Question 3 of 21
What determines the type of seizure a person experiences?
the part of the brain affected
the underlying cause
both
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Seizures vary greatly. The type of seizure is determined by the part of the brain affected and the cause of the seizures.
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Question 4 of 21
How does a brain malfunction cause seizures?
Neurochemicals in the brain become imbalanced.
Energy surges through the brain.
Parts of the brain become oxygen-deprived.
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The brain's electrical system does not discharge energy, but keeps firing, sending uncontrolled surges of energy through the brain.
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Question 5 of 21
What type of seizure affects both of the brain's hemispheres?
petit mal seizures
partial seizures
generalized seizures
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Generalized seizues, while subdivided into several types, all produce loss of consciousness.
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Question 6 of 21
What is another name for tonic-clonic seizures?
petit mal
grand mal
status epilepticus
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Usually called grand mal seizures, these may be characterized by stiffening of the limbs (tonic phase), followed by jerking (clonic phase).
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Question 7 of 21
What are petit mal seizures sometimes called?
atonic seizures
myclonic seizures
absence seizures
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Petit mal seizures, also known as absence seizures, are very brief lapses of awareness. They may occur 50 to 100 times a day.
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Question 8 of 21
What are prolonged seizures called?
atonic seizures
status epilepticus
myclonic seizures
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Most seizures are infrequent and last no more than two minutes. But sometimes, in a condition called status epilepticus, they are so frequent as to be almost continuous.
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Question 9 of 21
Is epilepsy inherited?
No forms of epilepsy are inherited.
All forms of epilepsy are inherited.
Only some forms seem to be inherited.
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Certain types of epilepsy do seem to be inherited. People who experience grand mal seizures are more likely to have family members with this type of epilepsy than people with other types of epilepsy.
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Question 10 of 21
What does an electroencephalogram (EEG) examine?
the chemical composition of the brain
growths in the brain
brain waves
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Doctors look for abnormalities in brain waves with an electroencephalograph (EEG) to help determine if a patient has epilepsy. They also examine the brain with magnetic resonance imaging (MRI) and computerized tomography (CT).
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Question 11 of 21
What is the name for the group of epilepsy syndromes that require certain triggers for seizures to occur?
temporal lobe epilepsy
epileptogenesis
reflex epilepsy
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Some people can experience seizures in response to senory stimuli, such as flashing lights or even reading. This is called reflex epilepsy.
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Question 12 of 21
What location-related epilepsy is the most difficult to control by medication?
temporal lobe epilepsy
West syndrome
tuberous sclerosis
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Seizures originate in the midline temporal structure of the brain in temporal lobe epilepsy. Most adults whose seizures can't be controlled with medicine have this type of epilepsy.
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Question 13 of 21
Which of these people would most likely be put on medication after a single seizure?
a child under the age of 18 months
a person with a normal EEG
an elderly person
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Doctors like to wait and see before starting medication, due to the possibility of side effects. However, an elderly person who might break a bone during a fall would be a good candidate for medication after only one seizure.
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Question 14 of 21
If medication is not successful at relieving seizures, what is the next treatment option?
surgery
hypnotherapy
electroshock treatments
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Surgery to remove the part of the brain where the seizures originate has become common and has proven successful.
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Question 15 of 21
What can be stimulated to prevent seizures?
the brain stem
the vagus nerve
the inner ear
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Small bursts of electricity travel to the brain along the vagus nerve, sent from a battery implanted in the patient's chest. Doctors aren't exactly sure why this blocks seizures, but it does.
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Question 16 of 21
What is the ketogenic diet?
high-carb, low-fat
high-fat, low-carb
gluten-free, raw foods
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The high-fat, low-carbohydrate ketogenic diet has been successful in treating seizures in two out of three children and has totally eliminated seizures in one out of three.
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Question 17 of 21
What is more common in children with epilepsy than in the general population?
attention-deficit/hyperactivity disorder
autism
both
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Both autism and ADHD are more common in children with epilepsy.
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Question 18 of 21
Do epilepsy symptoms ever go away?
only with medication
never
sometimes, especially in young people
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Several types of childhood epilepsy improve or disappear with age. Also, some adults may be able to stop medication after remaining free of seizures for several years.
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Question 19 of 21
Who disputed the notion that epilepsy was a disease caused by the gods?
Hippocrates
Galen
Homer
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Hippocrates wrote the first book on epilepsy, which was called "On the Sacred Disease." He said it was not a sign of prophetic power or a curse, but merely a brain disorder.
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Question 20 of 21
When and where did the modern study of epilepsy begin?
mid-19th century Great Britain
1930s Germany
20th-century United States
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Three English neurologists -- John Hughlings Jackson, Russell Reynolds and Sir William Richard Gowers -- began the modern study of epilepsy in the mid-1800s.
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Question 21 of 21
What military leader probably suffered from complex partial seizures?
Julius Caesar
Ulysses Grant
Alexander the Great
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Caesar had four documented episodes, plus a family history of seizures. While some historians have said Alexander had epilepsy, there is no evidence.
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