Epilepsy secondary prevention: Difference between revisions
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== Overview == | == Overview == | ||
Effective measures for the secondary prevention of epilepsy include [[Epilepsy diagnostic study of choice|early diagnosis]] and [[Epilepsy medical therapy|effective treatment]]. | Effective measures for the [[secondary prevention]] of epilepsy include [[Epilepsy diagnostic study of choice|early diagnosis]] and [[Epilepsy medical therapy|effective treatment]]. | ||
== Secondary Prevention == | == Secondary Prevention == | ||
* Effective measures for the secondary prevention of epilepsy include: | * Effective measures for the [[secondary prevention]] of epilepsy include: | ||
* Early diagnosis: | * Early diagnosis: | ||
** Epilepsy can be diagnosed based on history, [[Symptom|symptoms]] and [[physical examination]] of a patient with [[seizure]] complain.<ref name=":0">{{cite book | last = Mattle | first = Heinrich | title = Fundamentals of neurology : an illustrated guide | publisher = Thieme | location = Stuttgart New York | year = 2017 | isbn = 9783131364524 }}</ref> | ** Epilepsy can be diagnosed based on history, [[Symptom|symptoms]] and [[physical examination]] of a patient with [[seizure]] complain.<ref name=":0">{{cite book | last = Mattle | first = Heinrich | title = Fundamentals of neurology : an illustrated guide | publisher = Thieme | location = Stuttgart New York | year = 2017 | isbn = 9783131364524 }}</ref> | ||
** Among the patients who present with clinical [[signs]] of [[seizure]], the [[EEG]] is the most efficient test for diagnosis. | ** Among the patients who present with clinical [[signs]] of [[seizure]], the [[EEG]] is the most efficient test for diagnosis. | ||
** Video-EEG monitoring is a combination of recording [[EEG]] and clinical behavior of the patient. Although it's more expensive, it is more effective in differentiating different type if [[Seizure|seizures]].<ref name="pmid12233935">{{cite journal |vauthors=Worrell GA, Lagerlund TD, Buchhalter JR |title=Role and limitations of routine and ambulatory scalp electroencephalography in diagnosing and managing seizures |journal=Mayo Clin. Proc. |volume=77 |issue=9 |pages=991–8 |date=September 2002 |pmid=12233935 |doi=10.4065/77.9.991 |url=}}</ref> | ** Video-[[EEG]] monitoring is a combination of recording [[EEG]] and clinical behavior of the patient. Although it's more expensive, it is more effective in differentiating different type if [[Seizure|seizures]].<ref name="pmid12233935">{{cite journal |vauthors=Worrell GA, Lagerlund TD, Buchhalter JR |title=Role and limitations of routine and ambulatory scalp electroencephalography in diagnosing and managing seizures |journal=Mayo Clin. Proc. |volume=77 |issue=9 |pages=991–8 |date=September 2002 |pmid=12233935 |doi=10.4065/77.9.991 |url=}}</ref> | ||
** With the first [[seizure]], in order to reach a diagnosis and find out the etiology of [[seizure]], we should perform ancillary testing such as: | ** With the first [[seizure]], in order to reach a diagnosis and find out the etiology of [[seizure]], we should perform ancillary testing such as: | ||
*** Laboratory study including:<ref name="pmid18025394">{{cite journal |vauthors=Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J |title=Practice Parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society |journal=Neurology |volume=69 |issue=21 |pages=1996–2007 |date=November 2007 |pmid=18025394 |doi=10.1212/01.wnl.0000285084.93652.43 |url=}}</ref> | *** Laboratory study including:<ref name="pmid18025394">{{cite journal |vauthors=Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J |title=Practice Parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society |journal=Neurology |volume=69 |issue=21 |pages=1996–2007 |date=November 2007 |pmid=18025394 |doi=10.1212/01.wnl.0000285084.93652.43 |url=}}</ref> | ||
*** Imaging study including:<ref name=":0" /> | *** Imaging study including:<ref name=":0" /> | ||
*** [[EEG]] | *** [[EEG]] | ||
*** Video-EEG monitoring | *** Video-[[EEG]] monitoring | ||
*** [[Lumbar puncture]]<ref name="pmid180253942">{{cite journal |vauthors=Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J |title=Practice Parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society |journal=Neurology |volume=69 |issue=21 |pages=1996–2007 |date=November 2007 |pmid=18025394 |doi=10.1212/01.wnl.0000285084.93652.43 |url=}}</ref> | *** [[Lumbar puncture]]<ref name="pmid180253942">{{cite journal |vauthors=Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J |title=Practice Parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society |journal=Neurology |volume=69 |issue=21 |pages=1996–2007 |date=November 2007 |pmid=18025394 |doi=10.1212/01.wnl.0000285084.93652.43 |url=}}</ref> | ||
Revision as of 18:18, 21 April 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.
Overview
Effective measures for the secondary prevention of epilepsy include early diagnosis and effective treatment.
Secondary Prevention
- Effective measures for the secondary prevention of epilepsy include:
- Early diagnosis:
- Epilepsy can be diagnosed based on history, symptoms and physical examination of a patient with seizure complain.[1]
- Among the patients who present with clinical signs of seizure, the EEG is the most efficient test for diagnosis.
- Video-EEG monitoring is a combination of recording EEG and clinical behavior of the patient. Although it's more expensive, it is more effective in differentiating different type if seizures.[2]
- With the first seizure, in order to reach a diagnosis and find out the etiology of seizure, we should perform ancillary testing such as:
NOTE: For more information, click here
References
- ↑ 1.0 1.1 Mattle, Heinrich (2017). Fundamentals of neurology : an illustrated guide. Stuttgart New York: Thieme. ISBN 9783131364524.
- ↑ Worrell GA, Lagerlund TD, Buchhalter JR (September 2002). "Role and limitations of routine and ambulatory scalp electroencephalography in diagnosing and managing seizures". Mayo Clin. Proc. 77 (9): 991–8. doi:10.4065/77.9.991. PMID 12233935.
- ↑ Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J (November 2007). "Practice Parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society". Neurology. 69 (21): 1996–2007. doi:10.1212/01.wnl.0000285084.93652.43. PMID 18025394.
- ↑ Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J (November 2007). "Practice Parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society". Neurology. 69 (21): 1996–2007. doi:10.1212/01.wnl.0000285084.93652.43. PMID 18025394.