Medical Risks in Epilepsy
S. I. Johannessen
Wrightson Biomedical Pub., 2001 - Medical - 146 pages
It is perhaps self-evident that people who suffer sudden loss or impairment of consciousness are at greater risk of accident or injury than the general population and that patients who have uncontrolled seizures are at greater risk than those with good seizure control. It may be less obvious that people with epilepsy also have a greater than average risk of suicide, an increased mortality rate, and vulnerability to fatal and other adverse reactions to antiepileptic drugs particularly in polytherapy. In fact, people with epilepsy have a mortality rate two to three times that of the general population.
Identification of the medical risks in epilepsy and assessment of the magnitude of risk are important in order to reduce risk and to evaluate the risk-to-benefit ratios of prospective treatments.
While most epileptologists encourage their patients to lead normal lives, the risks associated with seizures cannot be ignored and these together with social stigmatization can result in limitation of daily activities. Practical guidance is given here for lifestyle adjustments and techniques that will help to minimize risk, particularly of accident or injury, while sustaining independence and good quality of life. Topics relating to everyday life include risk of traffic accidents, seizure warning systems and personal insurance.
Edited by a very experienced, influential, group of Nordic epileptologists, this is the latest in our successful series of epilepsy titles. It explores an important and difficult area, describes the findings of the most recent research and provides practical guidance for clinicians.
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Accidents and Injuries in Patients with Epilepsy
Mortality in People with Epilepsy
Psychiatric Comorbidity in Epilepsy
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accidents and injuries adverse reactions Annegers antiepileptic drugs aplastic anaemia arrhythmia associated Beghi behaviour carbamazepine cardiac cardiac arrhythmia case-control study cause of death children with epilepsy clinical Cockerell compared complex partial seizures convulsions death in epilepsy depression diagnosis disability disease driving licence epidemiological Epilepsia 38 epilepsy centre epilepsy patients epilepsy population epilepsy surgery epileptic seizures fatalities relating felbamate Finland fractures frequent gabapentin Hauser head injury Hospital ictal increased risk interictal Kennebäck Kuopio lamotrigine Leestma mortality in epilepsy mortality rate Nashef Neurol Neurosurg Psychiatry Neurology Nilsson number of reports occur onset patients with epilepsy persons with epilepsy phenytoin population-based study postictal psychiatric psychoses relative risk reports on fatalities Risk factors risk of SUDEP Sandvika Scand seizure frequency seizure type seizure-related injuries Shorvon Sillanpää status epilepticus Stockholm Sudden unexpected death SUDEP suicide Sweden symptoms syndrome Table therapy Tomson tonic-clonic seizures traffic accidents treatment valproic acid Vigabatrin Zielinski