By Gregory D. Cascino, Joseph I. Sirven
Designed to supply a complete yet obtainable creation to epilepsy and seizure issues, grownup Epilepsy offers cutting-edge info in a concise layout beneficial to a large viewers, from neurology citizens to epilepsy fellows and practitioners. This illustrated consultant to the overview, prognosis, and remedy of epilepsy is a priceless source allowing clinicians to stick on most sensible of the most recent strategies for top perform.
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Extra resources for Adult Epilepsy
The discharge often begins abruptly with a sharply contoured waveform or a series of such waveforms. It then evolves to widespread sharply contoured theta frequency activity with some intermixed delta frequencies. The discharge causes no clinical symptoms. SREDA is a rare electrographic pattern seen during wakefulness or light drowsiness. 10 Electroencephalographic tracing from a 12-year-old patient that shows 14&6Hz positive bursts. This benign pattern is seen during sleep or deep drowsiness. It consists of bursts of arch-shaped waves with sharp peaks of positive polarity, with a frequency of approximately 14 Hz (range, 13–17 Hz) or 6 Hz (range, 5–7 Hz), typically maximal in the posterior temporal regions, sometimes unilateral and sometimes bilateral (shown here).
However, the decision to initiate antiepileptic drug therapy must be made on the basis of the individual clinical scenario. The classification system for epilepsy syndromes incorporates interictal EEG abnormalities with the clinical features . Although the presence of IEDs on a routine EEG is helpful for the appropriate diagnosis of a seizure disorder, patients with epilepsy may have no IEDs, even on repeated EEG studies . Rarely, patients without epilepsy may have IEDs [6, 9]. When a routine EEG fails to show IEDs of a patient with a suspected seizure disorder, repeating the EEG may increase the diagnostic sensitivity.
J. J. (1997) Prevalence, classification, and severity of epilepsy and epileptic syndromes in children. Epilepsia, 38 (12), 1275–1282. 15. , Meinardi, H. et al. (1996) Prevalence of epilepsy in the elderly: the Rotterdam study. Epilepsia, 37 (2), 141–147. 16. , and Mykletun, A. (2000) Prevalence, classification, and severity of epilepsy in children in western Norway. Epilepsia, 41 (7), 802–810. 17. , Col´as, J. et al. (2001) Prevalence of epilepsy in northeast Madrid. J Neurol , 248 (9), 762–767.
Adult Epilepsy by Gregory D. Cascino, Joseph I. Sirven