By Elaine Wirrell M.D. (auth.), William O. Tatum, Joseph I. Sirven, Gregory D. Cascino (eds.)
Written via specialist epilepsy clinicians from the Mayo medical institution, Epilepsy Case stories: Pearls for sufferer Care offers a wide selection of case histories drawn from “real existence” studies in individuals with seizures. Designed to stimulate an analogous deductive reasoning that's general while seeing epilepsy sufferers within the health facility, this sensible ebook provides the scientific state of affairs after which poses a number of stimulating inquiries to manage the reader’s concepts to deal with every one case. Questions that revolve round each one case contain universal ones reminiscent of “How does this try out support us with the diagnosis?” and “What is the perfect dating of the patient’s seizures to their total neurological condition?” the main poignant questions comprise “How does this knowledge support us to plot a therapy plan?” and “What can we find out about the predicted direction and prognosis?” The questions raised in every one part contain the medical path and review. the place attainable, the dialogue depends the newest clinical facts to help the responses and contains updated recommendations used for sufferers with and with out seizure regulate. on the finish of every case a number of salient citations are referenced, as are the various extra pertinent articles that the reader can connection with receive an outline of the subject. Take-home messages are encapsulated within the kind of medical pearls which are designed to shape the fundamental figuring out of the case eventualities offered. a big contribution to the literature in epileptology, Epilepsy Case reports: Pearls for sufferer Care will be a useful reference for all clinicians who deal with sufferers with epilepsy.
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Additional info for Epilepsy Case Studies: Pearls for Patient Care
Bibliography 1. Berg AT, Shinnar S, Levy SR, Testa FM, Smith-Rapaport S, Beckerman B. How well can epilepsy syndromes be identified at diagnosis? A reassessment 2 years after initial diagnosis. Epilepsia. 2000;41:1269–75. 2. Fench JA, Pedley TA. Initial management of epilepsy. N Engl J Med. 2008;359:166–76. 3. Glausser TA, Cnaan A, Shinnar S, et al. for the Chilhood Absence Epilepsy Study Group. Ethosuximide, valproic acid, and lamotrigine in childhood absence epilepsy. N Engl J Med. 2010;362:790–9.
When status epilepticus is refractory to multiple medications, other alternatives should be considered. In this patient, the ketogenic diet was utilized with some degree of success in reducing continuous infusions of antiepileptic medications. There are a limited number of case reports describing the use of the ketogenic diet in refractory status epilepticus. In many of these limited cases, it has been shown to be beneficial. Obviously, care should be taken when altering the metabolism in a critically ill patient.
According to her parents, she had been an excellent student. However, recently they had been receiving notes from her teachers reporting that she had been periodically staring into space. She appeared as if she were daydreaming. They were significant enough to interfere with her ability to attend to her classes. The symptoms became especially alarming when she experienced an episode associated with urinary incontinence at school. She had no other complaints and was developmentally and neurologically normal on examination.