Intractable Epilepsy in Adults
- 290 Downloads
Most patients with epilepsy can achieve complete control of seizures with medication. Nevertheless, a substantial number develop intractable epilepsy—and all of the attendant medical and psychosocial difficulties associated with uncontrolled seizures. Various estimates have placed the number of persons continuing to have seizures in spite of medical treatment at 17% to 31% of the population of persons with epilepsy.14,13 In this chapter, three areas will be reviewed: 1) evaluation of a person with uncontrolled seizures; 2) definition of “intractable” epilepsy; and 3) predictors of intractability.
KeywordsTemporal Lobe Epilepsy Seizure Type Intractable Epilepsy Sodium Valproate Complex Partial Seizure
Unable to display preview. Download preview PDF.
- 3.Gumnit, R.J. Psychogenic Seizures. In: E. Wyllie (Ed.) The Treatment of Epilepsy: Principles and Practice, 2nd ed., Wiliams and Wilke, Baltimore (1997) pp. 677–680.Google Scholar
- 5.Juul-Jensen, P. Epilepsy. A Clinical and social analysis of 1020 adult patients with epileptic seizures, Act. Neurol. Scand., 40 (1964) 5.Google Scholar
- 6.Leppik, I.E. Compliance during the treatment of epilepsy, Epilepsia, Suppl 2 (1988) 79–84.Google Scholar
- 8.The National Association of Epilepsy Centers. Recommended guidelines for diagnosis and treatment in specialized epilepsy centers, Epilepsia, 31 (Suppl 1) (1990) S1–S12.Google Scholar
- 9.Okuma, T. and Kumashiro, H. (Chairmen for the Group for the Study for Prognosis of Epilepsy in Japan) Natural History and prognosis of epilepsy: report of a multi-institutional study in Japan, Epilepsia, 22 (1981) 35–53.Google Scholar
- 10.The Oxford English Dictionary, Oxford University Press, Glasgow, New York (1971).Google Scholar
- 11.Rodin, E. The prognosis of patients with epilepsy, Charles C. Thomas, Springfield, Ill. (1968).Google Scholar
- 15.Shorvon, S.D. and Sander, J.W.A.S. Temporal patterns of remission and relapse of seizures in patients with epilepsy. In: Schmidt, D. and Morselli, PL. (Eds.) Intractable Epilepsy, Raven Press, New York (1986) pp. 87–97.Google Scholar