Saturday, April 13, 2013

Seizures

Final Paper-Seizures

Seizure:

1) A sudden attack, spasm, or convulsion, as in epilepsy or another dis put together.

2) A sudden onset or feeling of feeling or emotion.

In this case, we atomic number 18 talking about the lovely of gaining control associated with Impaired consciousness and awareness of surroundings. This is called a interlacing Partial Seizure.

In the US: For people younger than 60 years, the incidence of partial seizures is 20 per 100,000 person-years. For people aged 60-80 years, incidence increases to 80 per 100,000 person-years. Prevalence of epilepsy is 0.5-1 per 100 persons. Complex partial seizures occur in about 35% of persons with epilepsy.

Causes:

Possible causes of complex partial seizures include the next:

Brain trauma

Encephalitis

Meningitis

Stroke

Perinatal brain injuries

Vascular malformations

Cortical dysplasia

Neoplasms

Complex partial seizures in most tolerants represent a symptom of underlying temporal lobe epilepsy, the cause of which is unknown. Characteristic pathological changes termed mesial temporal sclerosis are most often visible on brain MRI.

Medical Care:

Anticonvulsant therapy generally is indicated when patients harbor more than one seizure.

The goal is to make the patient seizure free.

Even one seizure per year may prevent the patient from working and/or driving.

Monotherapy generally is considered to be preferable to therapy with 2 or more anticonvulsants. Cognitive side effects are common with anticonvulsants.

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The newer anticonvulsants, gabapentin, lamotrigine, tiagabine, and topiramate, have the following characteristics:

Are more costly than senior anticonvulsants

Are excellent drugs to use when treatment with 2 anticonvulsants is needed, because they have marginal hepatic drug interactions

Do not require serum drug-concentration monitoring

Have a high therapeutic index

Are well tolerated and can be employ at doses greater than the maximum recommended dose

Although many anticonvulsants are listed as category D (unsafe in motherhood), continuing to take anticonvulsants during pregnancy is usually safer for...

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