By W. Henry Smithson, Matthew C. Walker
ABC of Epilepsy offers a pragmatic advisor for basic practitioners, and all these operating in basic care, at the prognosis, remedy and administration of epilepsy, and for the ongoing tracking and long-term aid of what's nonetheless a comparatively poorly understood neurological affliction.
This fresh identify within the ABC sequence is very illustrated all through and offers what epilepsy is, its category, and the way to diagnose it. It covers anti-epileptic medications and non-drug remedies, in addition to self-management and residing with epilepsy.
Edited through a healthcare professional and neurologist group, the ABC of Epilepsy displays present great directions and is perfect for all GPs, fundamental well-being care execs, perform nurses and expert nurses, and non-specialist scientific employees who play an expanding function in tracking and handling of epilepsy patients.
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Extra info for ABC of epilepsy
Polytherapy regimens containing valproate have signiﬁcantly more MCMs than those not containing valproate. For monotherapy exposures, carbamazepine is associated with the lowest risk of MCM. 2% (just above background incidence). The prescription of 5 mg of folic acid daily, before conception and at least until the end of the ﬁrst trimester, is recommended on an empirical basis in women with epilepsy. This can reduce the risk of recurrent neural tube defect, but as yet there is little evidence that folic acid will safeguard against the neural tube defects seen in association with AEDs.
Some teenagers with epilepsy share this concern; others probably look forward to it. There are different models of achieving transition to adult services. What is important is that the patient and their families feel supported through it and know who to contact if difﬁculties arise. The handover offers an opportunity for fresh eyes to look at the young person with epilepsy. Women Fertility, preconceptual counselling and pregnancy Women with treated epilepsy have lower fertility rates than an age-matched general population, and the causes may be complex and result in part from social and relationship effects of epilepsy, and from personal choice not to have children because of concerns about ‘passing on the condition’, as well as genetic factors and AED effects.
The clinical requirements of the review depend on the type of epilepsy, associated co-morbidity, and frequency and nature of seizures. Epilepsy review can be offered in both primary and secondary care and also in ‘intermediate clinics’ run by either specialist nurses or general practitioners with a special interest. People with learning disability People with complex health needs will require input from a variety of professionals in a number of different settings. Ensuring good communication both between individual and professional and between different professionals is crucial to optimal care.