By W. Henry Smithson, Matthew C. Walker
ABC of Epilepsy offers a realistic advisor for normal practitioners, and all these operating in fundamental care, at the analysis, remedy and administration of epilepsy, and for the continuing tracking and long-term aid of what's nonetheless a comparatively poorly understood neurological ailment.
This fresh name within the ABC sequence is very illustrated all through and offers what epilepsy is, its type, and the way to diagnose it. It covers anti-epileptic medicinal drugs and non-drug remedies, in addition to self-management and dwelling with epilepsy.
Edited by means of a doctor and neurologist staff, the ABC of Epilepsy displays present great directions and is perfect for all GPs, basic overall healthiness care execs, perform nurses and professional nurses, and non-specialist clinical employees who play an expanding function in tracking and handling of epilepsy patients.
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Additional info for ABC of epilepsy
However, there should be a well-deﬁned, accessible local network to ensure that further expertise, usually from a paediatric neurologist, can be obtained if diagnosis or management is proving problematic. It is recommended that children who continue to have seizures after two antiepileptic drugs have been tried should be reviewed by a paediatric neurologist. Inevitably young children are relatively passive recipients of care. Usually their parents act as advocates for them. Once children can effectively communicate they should be actively involved in their care.
Acute symptomatic seizures are most suitably managed by treating the underlying precipitant. AED therapy may be necessary in some circumstances, on a temporary basis, to suppress seizures while control of the underlying illness is achieved. There is an enormous amount of literature on AED therapy. However, it contains little speciﬁc reference to older people. Even in those few drug trials from which older people are not actually excluded, they are seriously underrepresented. Information regarding seizure recurrence after a ﬁrst seizure, and the response to treatment, is scant.
However, continuous seizure activity for 30 minutes or longer (status epilepticus) is associated with neurological deﬁcits, cognitive decline and a high mortality rate (10–20%). People with epilepsy rarely go straight into status epilepticus; usually there is a premonitory phase of an increasing frequency of seizures. In order to prevent status epilepticus, early, expeditious treatment is required. Moreover, prolonged seizures often recur in those predisposed to such. Therefore if a prolonged seizure or a cluster of seizures has occurred in an individual then there should be a strategy in place to prevent subsequent episodes of status epilepticus.