Management of patients with single and rare epileptic seizures

Objective: to study the structure of the disease and develop tactics of treatment of patients with single and rare epileptic seizures. Materials and methods. 1200 patients with epilepsy were examined, 103 patients were identified who had no more than 3 seizures throughout their life. Study included...

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Main Author: A. S. Kotov
Format: Article
Language:Russian
Published: ABV-press 2020-09-01
Series:Русский журнал детской неврологии
Subjects:
Online Access:https://rjdn.abvpress.ru/jour/article/view/331
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author A. S. Kotov
author_facet A. S. Kotov
author_sort A. S. Kotov
collection DOAJ
description Objective: to study the structure of the disease and develop tactics of treatment of patients with single and rare epileptic seizures. Materials and methods. 1200 patients with epilepsy were examined, 103 patients were identified who had no more than 3 seizures throughout their life. Study included evaluation of anamnesis, clinical and neurological examination, routine electroencephalography and/or videoelectroencephalographic monitoring, magnetic resonance imaging of the brain. Results. Relapse of seizures in individuals with a history of follow-up occurred in 32 % of cases; epileptogenic changes in magnetic resonance image and, especially, anatomical and electro-clinical correlation of the epilepsy focus were associated with the risk of relapse. Conclusions. The decision on drug therapy after the first unprovoked seizure should be based on the ratio of the risk of repeated seizures and the risk of side effects. This solution should be individual and take into account not only medical problems, but also the preferences of the patient and his family members.
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spelling doaj.art-71f4f2e70b4342898fc4b54b31a97a392023-03-13T09:30:12ZrusABV-pressРусский журнал детской неврологии2073-88032412-91782020-09-01152121610.17650/2073-8803-2020-15-2-12-16225Management of patients with single and rare epileptic seizuresA. S. Kotov0ГБУЗ МО «Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского»Objective: to study the structure of the disease and develop tactics of treatment of patients with single and rare epileptic seizures. Materials and methods. 1200 patients with epilepsy were examined, 103 patients were identified who had no more than 3 seizures throughout their life. Study included evaluation of anamnesis, clinical and neurological examination, routine electroencephalography and/or videoelectroencephalographic monitoring, magnetic resonance imaging of the brain. Results. Relapse of seizures in individuals with a history of follow-up occurred in 32 % of cases; epileptogenic changes in magnetic resonance image and, especially, anatomical and electro-clinical correlation of the epilepsy focus were associated with the risk of relapse. Conclusions. The decision on drug therapy after the first unprovoked seizure should be based on the ratio of the risk of repeated seizures and the risk of side effects. This solution should be individual and take into account not only medical problems, but also the preferences of the patient and his family members.https://rjdn.abvpress.ru/jour/article/view/331эпилепсияэпилептический приступредкие эпилептические приступыриск рецидива приступов
spellingShingle A. S. Kotov
Management of patients with single and rare epileptic seizures
Русский журнал детской неврологии
эпилепсия
эпилептический приступ
редкие эпилептические приступы
риск рецидива приступов
title Management of patients with single and rare epileptic seizures
title_full Management of patients with single and rare epileptic seizures
title_fullStr Management of patients with single and rare epileptic seizures
title_full_unstemmed Management of patients with single and rare epileptic seizures
title_short Management of patients with single and rare epileptic seizures
title_sort management of patients with single and rare epileptic seizures
topic эпилепсия
эпилептический приступ
редкие эпилептические приступы
риск рецидива приступов
url https://rjdn.abvpress.ru/jour/article/view/331
work_keys_str_mv AT askotov managementofpatientswithsingleandrareepilepticseizures