1. Step 9
1.1. Review session 2
1.2. mechanism flow chart
1.2.1. The mum is diagnosed with epilepsy from idiopathic cause
1.2.1.1. triggered by alcohol withdrawa, flickering lights and lack of sleep
1.2.2. she became pregnant and taking AED
1.2.3. AED caused the neural tube defect (myelomeningocele) along with the seizure while the mother was pregnant
1.2.4. khaled had the neurosurgery and hydrocephalus developed as a complication
1.2.5. a shunt was used for the child
1.3. 20 minutes
2. Step 10
2.1. Management
2.1.1. mylomengiocele initial managment
2.1.1.1. shunting of excess csf fluid
2.1.1.1.1. tube insertion for drainage
2.1.1.1.2. complications include over-drainage,
2.1.1.2. ANTIBIOTIC ADMINISTRATION PRE OP
2.1.2. post surgical managment
2.1.2.1. multidisciplinary monitoring
2.1.3. epilepsy
2.1.3.1. start with monotherapy (low dose) and prevent abrupt withdrawl
2.1.3.1.1. valproic acid first-line
2.1.3.2. 4 main classification of drugs
2.1.3.3. enhance compliance
2.2. Prevention
2.2.1. spina bifeda
2.2.1.1. avoid causes
2.2.1.2. consider supplements
2.2.2. epilepsy
2.2.2.1. genetic counseling?
2.2.2.2. drug compliance and avoidance of triggers