1 / 21

Epilepsy is more a social condition than a medical one 26th August 11.30- 12.15 12th European Conference on Epilep

.... For the PWE, social adjustements are apt to be difficult, . not only because of the problems which arise due to the threat of attacks........, but also. due to the attitudes of those who surround him, at home, in school and college, at play and at work...". Francis McNaughton - 1954. Th

reba
Télécharger la présentation

Epilepsy is more a social condition than a medical one 26th August 11.30- 12.15 12th European Conference on Epilep

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


    1. Epilepsy is more a social condition than a medical one 26th August (11.30- 12.15) 12th European Conference on Epilepsy and Society

    2. .... For the PWE, social adjustements are apt to be difficult,

    3. The Central Core of Epilepsy management is medical Definitions Epileptic seizures Epilepsy Etiologies Secondary/Simptomatic Primary/Idiopatic Diagnosis Clinic Laboratory Management/control of the seizures Medical Surgery Others (ENV, Diet,..) Prognosis

    4. ....... an epileptic seizure is a transient ocurrence of signs and/or symptoms due to abnormal excessive or synchronous neuronal activity in the Brain......

    5. ....... epilepsy is a chronic condition of the brain characterized by an enduring propensity to generate epileptic seizures and by the neurobiological, cognitive, psychological and social consequences of this condition......

    6. Classification Five axis Axis 1 Ictal phenomenology Axis 2 Seizure type Axis 3 Syndrome Axis 4 Etiology Axis 5 Impairment

    7. Classification Five axis Axis 1 Ictal phenomenology Axis 2 Seizure type Axis 3 Syndrome Axis 4 Etiology Primary / Idiopathic / Genetic Secondary /Symptomatic/ Probably Symptomatic Axis 5 Impairment

    9. Incidence / 100 000 / year of unprovoked seizures

    10. Antiepileptic drugs -Lancet Neurol (2006) 1064-7

    11. Antiepileptic drugs - Lancet Neurol (2006) 1064-7

    12. Treatment issues in epilepsy recomendations for pediatric epilepsies

    14. Alternatives

    15. Epilepsy surgery

    16. Epilepsy surgery

    18. Epilepsy surgery - results

    19. Epidemiologic classification of Seizures Idiopatic or cryptogenic Remote symptomatic epilepsy - trauma/brain tumors/CVdisease/chronic degeneration /others. Acute symptomatic seizures within one week of an insult trauma/ infection/ cv disease/others. Major neurological dysfunction mainly congenital (MR/CP/others)

    20. Epidemiologic classification of seizures / Standardized mortality ratios SMR Idiopatic or cryptogenic 1.3 Remote symptomatic epilepsy 3.7 Acute symptomatic seizures 3.0 Major neurological dysfunction 25.0

    21. Increased standardized mortality ratios Epilepsy Status, accidental, drowning, suicide Sudden unnexpected death - SUDEP Morbidity linked with the AED osteoporosis, idiosyncratic. Subjacent risk factors tumors, CVD, trauma, degenerative disorders

    22. Sept. '99

More Related