Read e-book online The Treatment of Epilepsy PDF

By Simon D. Shorvon

ISBN-10: 0632060468

ISBN-13: 9780632060467

5th writer, W. Edwin Dodson, is with Washington Univ. institution of medication, St. Louis, MO. Concentrates at the scientific therapy and day by day administration of epilepsy. gains 28 new chapters reflecting new examine and developments. additionally addresses the presurgical review, epilepsy surgical procedure, and drug remedies. past variation: c1996, DNLM: Epilepsy--drug remedy.

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Additional resources for The Treatment of Epilepsy

Example text

In practice, the terms myoclonic jerks, myoclonus, myoclonic epilepsy and myoclonus epilepsy are confusing because various authorities apply the terms for different purposes. The term myoclonic epilepsy is used by some authors to describe a particular type of epilepsy and by others to define a group of several epilepsies in which patients have myoclonic seizures plus other features. This ambiguous terminology led Jeavons to comment in 1977 [17] that application of the term 'myoclonic' had become so confusing that he recommended defining the term whenever it was applied to seizures or epilepsy.

Atypical absence seizures Like typical absence, atypical absence seizures begin and end abruptly. Although no single feature differentiates typical from atypical absence, atypical absence seizures are more likely to be associated with the following features: longer duration, decreased postural tone and tonic activity. Atypical absence seizures are more likely to occur in patients with interictal abnormalities on EEG, multiple seizure types and mental retardation. Although the 1981 classification noted that the onset and cessation of atypical absence was not as abrupt as typical absence, subsequent investigation found that both types begin and end suddenly.

The picture that emerged as more typical had variable features that included cases of severe epilepsy, epilepsy confounded by cognitive difficulties and lesional/symptomatic aetiologies which in some cases such as mitochondrial encephalopathy with lactic acidaemia and stroke (Melas) were progressive [81] These exceptions notwithstanding, authoritative opinions regarding this condition emphasized an excellent prognosis. Key features include onset around age 5 years of episodic vomiting, eye deviation and impaired consciousness with variable secondary generalized convulsions.

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The Treatment of Epilepsy by Simon D. Shorvon

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