By W. Henry Smithson, Matthew C. Walker
ABC of Epilepsy presents a realistic advisor for normal practitioners, and all these operating in basic care, at the analysis, remedy and administration of epilepsy, and for the ongoing tracking and long-term aid of what's nonetheless a comparatively poorly understood neurological ailment.
This fresh identify within the ABC sequence is very illustrated all through and offers what epilepsy is, its category, and the way to diagnose it. It covers anti-epileptic medicines and non-drug remedies, in addition to self-management and dwelling with epilepsy.
Edited through a health practitioner and neurologist staff, the ABC of Epilepsy displays present great instructions and is perfect for all GPs, basic health and wellbeing care pros, perform nurses and expert nurses, and non-specialist clinical employees who play an expanding position in tracking and dealing with of epilepsy patients.
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Extra resources for ABC of epilepsy
Treatment of prolonged or repeated generalised convulsive seizures Treatment is more successful the earlier it is instigated, and therefore treatment should often be initiated before the patient reaches hospital. The aim is to terminate the seizure, with minimal respiratory or cardiac impairment while keeping the patient safe from accidental injury. Ensure the patient is in a safe place. This has to be accomplished quickly while other treatment is being prepared. For instance, move the patient from a busy road, a water hazard or prevent the patient from falling downstairs.
In addition, nephrolithiasis can occur in up to 1% of treated individuals. Carbamazepinea Clobazam Clonazepam Eslicarbazepine Ethosuximide Gabapentin Lacosamide Lamotrigine Levetiracetam Oxcarbazepinea Phenobarbitala Phenytoina Piracetam Pregabalin Primidonea Retigabine Ruﬁnamide Sodium valproate Tiagabine Topiramate Vigabatrin Zonisamide a Hepatic-enzyme-inducing drug. Source: Stokes et al. (2004). Withdrawing antiepileptic drugs This should only be done under specialist guidance with the agreement of the patient, after full discussion of the risks and beneﬁts.
Lastly, as we have already discussed, behavioural change during treatment needs careful assessment for attribution. These common associations with psychological ill health can lead to specialist care being provided by psychiatric rather than neurological services, and referral pathways should reﬂect this. Older people Epilepsy in the older person is potentially more serious than in the younger population. An older person may worry, not without reason, that future seizures may lead to injury. The risk of injury from falls during a seizure is increased due to frailty, including osteoporotic fractures.