By W. Henry Smithson, Matthew C. Walker
ABC of Epilepsy presents a pragmatic consultant for basic practitioners, and all these operating in fundamental care, at the prognosis, therapy and administration of epilepsy, and for the ongoing tracking and long-term help of what's nonetheless a comparatively poorly understood neurological affliction.
This fresh name within the ABC sequence is very illustrated all through and provides what epilepsy is, its type, and the way to diagnose it. It covers anti-epileptic medications and non-drug remedies, in addition to self-management and residing with epilepsy.
Edited by means of a health care provider and neurologist workforce, the ABC of Epilepsy displays present great directions and is perfect for all GPs, basic wellbeing and fitness care pros, 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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Edited by W. Henry Smithson and Matthew C. Walker. © 2012 Blackwell Publishing Ltd. Published 2012 by Blackwell Publishing Ltd. cause. This can have important genetic and management implications. For example, pyridoxine-dependent seizures are autosomal recessive disorders which do not respond to conventional antiepileptic drugs but do respond to pyridoxine. Moreover, epilepsies in this age group, more than at any other age, can be associated with developmental problems, which may be partially preventable by early seizure control.
This can be accomplished by phone or email. The impact of worsening side effects or increased seizures on quality of life can be enormous, especially if the GP has limited knowledge of the condition and is unable to make changes. Having access to specialist advice in these situations can be vital when an individual’s epilepsy is resistant to treatment and may deteriorate suddenly with potentially life-threatening consequences. It is crucial that the clinician does not just ‘seizure count’; especially when improvement in seizure control is gained at the expense of side effects.
Visual ﬁeld defects have been reported in one in three people taking vigabatrin, with onset usually after months to years of treatment. Any person who has concerns about this should talk to their general practitioner and neurologist. Visual ﬁeld tests should be performed every six months in patients on vigabatrin. Agitation, irritability, confusion, depression, poor muscle coordination, dizziness, poor memory, sleepiness, double vision, loss of appetite and decreased blood levels of bicarbonate have all been commonly reported with zonisamide.