Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Treatment of children with "ordinary" epilepsy
Autore:
Camfield, PR; Camfield, CS;
Indirizzi:
IWK Grace Hlth Ctr, Halifax, NS B3J 3G9, Canada IWK Grace Hlth Ctr Halifax NS Canada B3J 3G9 Halifax, NS B3J 3G9, Canada Dalhousie Univ, Dept Pediat, Halifax, NS, Canada Dalhousie Univ Halifax NS Canada Univ, Dept Pediat, Halifax, NS, Canada
Titolo Testata:
EPILEPTIC DISORDERS
fascicolo: 1, volume: 2, anno: 2000,
pagine: 45 - 51
SICI:
1294-9361(200003)2:1<45:TOCW"E>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
NEWLY-DIAGNOSED EPILEPSY; 1ST UNPROVOKED SEIZURE; CHILDHOOD EPILEPSY; RECURRENT SEIZURES; FEBRILE SEIZURES; ANTIEPILEPTIC DRUGS; STATUS EPILEPTICUS; SODIUM VALPROATE; DEVELOPING BRAIN; CARBAMAZEPINE;
Keywords:
childhood epilepsy; treatment; prognosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
51
Recensione:
Indirizzi per estratti:
Indirizzo: Camfield, PR IWK Grace Hlth Ctr, POB 3070, Halifax, NS B3J 3G9, Canada IWKGrace Hlth Ctr POB 3070 Halifax NS Canada B3J 3G9 Canada
Citazione:
P.R. Camfield e C.S. Camfield, "Treatment of children with "ordinary" epilepsy", EPILEPT DIS, 2(1), 2000, pp. 45-51

Abstract

Many children with epilepsy have a relatively benign clinical course with eventual remission of their seizures and no further need for medication. Itis not easy to be sure who these children are at the time of diagnosis, but they do not have catastrophic epilepsy. Epilepsy is best defined as two unprovoked seizures. Not all of these children require treatment and treatment is motivated by fear of brain damage, injury, death, kindling of additional seizures, and social consequences. None of these fears provides an absolute indication for treatment. The decision to start medication should be considered on an individual basis. The choice of a first AED is arbitrary with most AEDs having equal efficacy. Follow-up schedules have not been well studied. However, there is fairly convincing evidence that routine blood and urine screening for toxicity is of no benefit, if the child is asymptomatic. Serum drug levels are of little clear benefit. Once the child has been seizure-free for 6 months to 12 months, it is reasonable to consider stopping medication. Only rarely does seizure control fail to return if there arerecurrences without medication.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 04:48:43