People With Epilepsy Have Increased Risk Of Mortality – Part 3 of 3
Another knowledgeable said the risk needs to be put into perspective. “The risk of sudden, unexplained death is real and it’s there, but the numbers are not humongous. There’s not a sudden, unexplained death epidemic,” said Dr Inna Vaisleib, a pediatric neurologist and epileptologist at Children’s Hospital of Pittsburgh.
She sharp out that the researchers were able to identify some risk factors associated with an increased risk of death, such as the absence of a five-year remission, a biography of prolonged seizures (status epilepticus) and epilepsy with symptomatic causes, such as a head trauma or a neurological problem. Still most parents don’t need to be overly concerned malaysia punde sex. About 70 percent of children outgrow their epilepsy by adolescence and kids who cease having seizures don’t have an increased risk of death.
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People With Epilepsy Have Increased Risk Of Mortality – Part 2 of 3
The most serious complication that occurs more often in men and women with epilepsy is sudden unexplained death. However, little is known about why this is so. The current study included 245 children living in Finland who were diagnosed with epilepsy in 1964. The children were followed prospectively for 40 years, and in most cases, when a demise occurred, an autopsy was performed.
The researchers found that 60 (24 percent) of the study volunteers died during the follow-up period. Forty eight percent of those who died had practised seizures in the previous five years. Not all of the deaths were related to epilepsy, but the researchers found that 33 (55 percent) were. Eighteen of the deaths were considered swift unexplained deaths.
Nine people had either a definite or probably seizure before dying, and six accidentally drowned, presumably as a result of a seizure while swimming or bathing alone. The overall risk of sudden, unexplained extirpation was 7 percent over 40 years. In an analysis that only included people who weren’t in long-term epilepsy remission and who weren’t receiving medication, the overall risk of sudden, unexplained dying was 12 percent, according to the study.
And “Epilepsy is a serious disorder, which has increasingly recognized comorbidities, including – if it persists into adulthood – an increased risk of death”. Although the researchers don’t have knowledge of why the risk of sudden death is increased in people with epilepsy, Shinnar said it’s a good idea to try to maintain full seizure control and to be compliant with your medications. “People who are doing allow may start skipping their medications or forgetting them,” he said “We really don’t know if seizure control could make a difference in the risk of sudden, unexplained death”.
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People With Epilepsy Have Increased Risk Of Mortality – Part 1 of 3
People With Epilepsy Have Increased Risk Of Mortality. People with youth epilepsy who continue to have seizures into adolescence and beyond face a significantly higher risk of death than persons who’ve never had epilepsy, new research suggests. In a study that followed 245 children for 40 years following their epilepsy diagnosis, researchers found that 24 percent died during that time period. That’s a grade of death that’s three times as high as would be expected for people without epilepsy who were of a similar age and sex.
And “In those people with childhood-onset epilepsy, those who do not outgrow their seizures have a substantially higher mortality clip over many years,” said study senior author Dr Shlomo Shinnar, director of the Comprehensive Epilepsy Management Center at the Children’s Hospital of Montefiore in New York City. But the imperil to any individual in any given year is still less than 1 percent.
And the good news from the study is that “once you have seizure remission, mortality rates are similar to people without epilepsy “. The findings are published in the Dec 23, 2010 edition of the New England Journal of Medicine.
Epilepsy is a disorder of the brain caused by abnormal signaling messages from nerve cell to nerve cell, according to the US National Institute of Neurological Diseases and Stroke. Those queer signals can cause strange sensations, muscle spasms, seizures and even a loss of consciousness.
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US Doctors Confirm The Correct Solution To The Problem Of Epilepsy – Part 3 of 3
Patients undergo a presurgical workup that provokes seizures under close observation and determines which part of the brain generates seizures and can be safely removed. While chimera problems occur in a small number of epilepsy surgical patients major complications are rare. Private insurance plans and Medicare typically cover all expenses associated with the procedure. “There’s a misconstrual that the more anti-seizure drugs people with epilepsy try, the better chances they have to achieve seizure freedom or reduction. This notion delays referrals for presurgical evaluation”. Hermann added: “In general, it’s better to weigh epilepsy surgery sooner rather than later” capsule.
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US Doctors Confirm The Correct Solution To The Problem Of Epilepsy – Part 2 of 3
Researchers from Henry Ford Hospital in Detroit, conducting phone interviews with more than 250 epilepsy patients who had wisdom surgery there between 1993 and 2011, found that 92 percent considered the surgical treatment worthwhile. More than three-quarters of those undergoing surgery on their brain’s temporal lobe – the most common orientation to remove brain tissue triggering seizures – were later seizure-free or experienced only rare disabling seizures. About half of the patients reported being able to drive at the time they were interviewed, compared to 35 percent who were able to do so before surgery.
Those with favorable surgical outcomes also were more no doubt to be working and less likely to be taking antidepressants, the investigators found. “It was very encouraging to document the patients’ perspective about the value of surgery,” said survey co-author Dr Marianna Spanaki, director of the epilepsy monitoring unit at Henry Ford Hospital. “If presurgical evaluation is delayed, people with epilepsy suffer from uninterrupted medication and seizure side effects that compromise their quality of life”.
The second study, by researchers at University of California, Los Angeles, found that 90 percent of epilepsy patients aged 60 and older undergoing sense surgery experienced good outcomes, with 70 percent of them becoming seizure-free. The study authors said the data demonstrates that older age simply shouldn’t necessarily block consideration of epilepsy surgery. Between 100000 and 200000 epilepsy patients in the United States are candidates for epilepsy surgery, which is typically considered when seizures resume despite the use of several types of anti-seizure drugs.
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US Doctors Confirm The Correct Solution To The Problem Of Epilepsy – Part 1 of 3
US Doctors Confirm The Correct Solution To The Problem Of Epilepsy. The jumbo majority of epilepsy patients who have brain surgery to favour the seizure disorder find it improves their mood and their ability to work and drive, a new study reveals. Meanwhile, a second study also indicates the procedure is safe and effective for patients over 60. “They’re both reassuring findings,” said Bruce Hermann, overseer of the Charles Matthews Neuropsychology Lab at the University of Wisconsin School of Medicine and Public Health. “Epilepsy is a difficult fight to have and live with, coming with a high rate of depression and affecting the ability to drive and work.
And “We always hoped surgery would have positive effects on patients’ life situations, and this research does show that, and shows that the outcomes persist,” added Hermann, who was not convoluted with the research Dec 2013. Both studies are scheduled to be presented Sunday at the American Epilepsy Society annual meeting in Washington, DC Research presented at painstaking conferences is considered preliminary until published in a peer-reviewed medical journal.
Affecting about 2,2 million Americans and 65 million people globally, epilepsy is a paroxysm disorder triggered by abnormal nerve cell signaling in the brain, according to the Epilepsy Foundation. More than 1 million Americans with epilepsy suffer from treatment-resistant seizures that can hamper their ability to drive, opus and learn. Epilepsy is the third most common neurological disorder, after Alzheimer’s disease and stroke.
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Epilepsy And Attention Deficit Hyperactivity Disorder – Part 3 of 3
And “We imagine this in our own clinical experience here”. Dr Cynthia Harden is director of North Shore-LIJ’s Comprehensive Epilepsy Care Center in Great Neck, NY She said, “Hopefully, this material information will motivate patients, families and the medical community who care for epilepsy patients to be vigilant for these disabling symptoms and to provide appropriate resources for addressing psychiatric issues”.
Easing seizures may be key. “If a soul with epilepsy can become seizure-free through appropriate medical and surgical interventions, this will go a long way toward eliminating the depression, anxiety, medication burden and ADHD symptoms that too often accompanies living with seizures. Study prime mover Ettinger suggested that “as a next step, we need to validate measures to screen for ADHD specifically in epilepsy and clarify the nature of ADHD symptoms in adults with epilepsy. This will couple the foundation for future trials of treatments that offer the promise of rendering major improvements in the quality of life of adult epilepsy patients” proextender made in tirunelveli. The deliberate over was published online Jan 15, 2015 in the journal Epilepsia.
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