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Last Minute Review
RITE last-minute cheat sheet — tables and one-liners only
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Seizure Semiology & Localization
ILAE 2025 classification (updated from 2017), consciousness vs awareness, observable vs motor, 21 seizure types, semiology by lobe, lateralizing signs
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Epilepsy Diagnostic Workup
First seizure evaluation, EEG, MRI epilepsy protocol, surgical/autoimmune/genetic workup
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Neonatal & Infantile Encephalopathies
DEE terminology, Ohtahara, West syndrome, KCNQ2, SCN2A, pyridoxine-dependent epilepsy, precision therapy
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Childhood Epileptic Encephalopathies
LGS, Dravet, Doose/MAE, GEFS+, TSC/mTOR, Rasmussen encephalitis
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Self-Limited & Absence Epilepsies
Febrile seizures, SeLECTS, Panayiotopoulos, CAE vs JAE, CSWS/ESES, Landau-Kleffner
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Temporal Lobe & Focal Epilepsies
mTLE vs lateral TLE, hippocampal sclerosis, FLE, FCD classification, ERSET trial
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Idiopathic Generalized Epilepsies
JME, GTCA, 4-syndrome IGE comparison, drugs that worsen IGE, overlap syndromes
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Progressive Myoclonic & Reflex Epilepsies
PME triad, ULD, Lafora, NCL, sialidosis, MERRF, photosensitive/reading/startle epilepsy
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First Seizure & Acute Symptomatic
First unprovoked seizure, metabolic thresholds, alcohol withdrawal, post-stroke/TBI seizures, rescue therapy
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Status Epilepticus
CSE algorithm, RAMPART, ESETT, NCSE/Salzburg criteria, RSE/SRSE, NORSE/FIRES, STESS
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Autoimmune Epilepsy
Cell-surface vs intracellular antibodies, NMDA-R, LGI1, GAD65, APE2 score, immunotherapy
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ASM Selection & Treatment
Broad vs narrow spectrum, SANAD trials, drug-resistant epilepsy, synergistic combos, withdrawal
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Individual ASM Profiles & PK
Master ASM table, VPA, LEV/BRV, LTG, CBZ/OXC, PHT, cenobamate, teratogenicity, pregnancy PK
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Presurgical Evaluation
Phase I/II workup, SEEG vs grids, Wada vs fMRI, concordance model, Engel classification
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Epilepsy Surgery
ATL, SAH, LITT/SLAH, lesionectomy, corpus callosotomy, hemispherectomy, long-term outcomes
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Neuromodulation (VNS, RNS, DBS)
VNS mechanism/efficacy, RNS closed-loop, ANT-DBS/SANTE trial, comparison table
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Special Populations & SUDEP
Women/pregnancy, elderly, catamenial epilepsy, SUDEP risk factors, MORTEMUS, prevention
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Driving Regulations
State-by-state laws, mandatory vs voluntary reporting, seizure-free intervals, CDL/FMCSA
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Epilepsy Mimics & DDx
PNES, syncope vs seizure, cardiac channelopathies, paroxysmal dyskinesias, sleep events
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