By W. Henry Smithson, Matthew C. Walker
ABC of Epilepsy presents a pragmatic consultant for normal practitioners, and all these operating in fundamental care, at the prognosis, remedy and administration of epilepsy, and for the ongoing tracking and long-term help of what's nonetheless a comparatively poorly understood neurological sickness.
This fresh identify within the ABC sequence is very illustrated all through and offers what epilepsy is, its class, and the way to diagnose it. It covers anti-epileptic medications and non-drug remedies, in addition to self-management and dwelling with epilepsy.
Edited by way of a health practitioner and neurologist crew, the ABC of Epilepsy displays present great directions and is perfect for all GPs, fundamental future health care execs, perform nurses and expert nurses, and non-specialist scientific employees who play an expanding function in tracking and handling of epilepsy patients.
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Additional resources for ABC of epilepsy
This may present subtly in an older person, who may have pre-existing pathology impairing either cognitive function or mobility. Age-related pharmacokinetic changes require a reduced daily dose of AEDs, but decisions about treatment are pragmatic. Patients with recurrent unprovoked seizures clearly require treatment. Although a range of antiepileptic drugs can be used as initial treatment in older people, the evidence supports the preferential use of lamotirigine, gabapentin, topiratmate (at low dose), valproate (cautiously due to tremor and sedation) and levetiracetam.
Epilepsy surgery therefore often represents the best chance of seizure freedom in those resistant to antiepileptic drugs. Epilepsy surgery is more successful and has a greater psychosocial impact the earlier it is done in the course of the epilepsy. In view of this, it is generally recommended that those people with partial epilepsy that have tried therapy with at least two ﬁrst-line antiepileptic drugs appropriate ABC of Epilepsy, First Edition. Edited by W. Henry Smithson and Matthew C. Walker.
The most common side effects are dizziness, headache, nausea and diplopia. Lacosamide can also prolong the P-R interval in the ECG and so should be used with caution in people with heart disease. Skin rash, which generally appears within eight weeks of starting treatment and resolves on withdrawal. Adverse experiences reported include drowsiness, diplopia, dizziness, headache, insomnia, tiredness, fever (associated with a rash as part of a hypersensitivity syndrome) and agitation, confusion and hallucinations.
ABC of epilepsy by W. Henry Smithson, Matthew C. Walker