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[Acute symptomatic epilepsies].

J A Mauri-Llerda1, C Tejero-Juste, I Escalza-Cortina

  • 1Servicio de Neurología, Hospital Clínico Lozano Blesa, Zaragoza, España.

Revista De Neurologia
|November 18, 2000
PubMed
Summary
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Symptomatic acute seizures, distinct from epilepsy, often have a clear cause and rarely require long-term treatment. These seizures are common, particularly in infants and the elderly, with cerebrovascular disorders being a frequent cause.

Area of Science:

  • Neurology
  • Epileptology

Context:

  • Symptomatic acute epilepsies present distinct characteristics compared to true epileptic disorders.
  • Understanding these differences is crucial for accurate diagnosis and management.

Purpose:

  • To review the differentiating characteristics, epidemiology, etiology, and treatment controversies of symptomatic acute epilepsies.
  • To describe the experience with symptomatic acute epilepsy in cerebrovascular disorders.

Summary:

  • Symptomatic acute seizures are characterized by a clear causal association, a tendency not to recur, and typically do not necessitate long-term anti-epileptic treatment.
  • They constitute approximately 40% of newly diagnosed epilepsies, with peak incidence in the first year of life and in the elderly.
  • Common etiologies include cerebrovascular disorders, head injury, CNS infections, alcohol, and drugs.

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Impact:

  • Identifies symptomatic acute seizures as a distinct entity, guiding appropriate treatment strategies.
  • Highlights the increased risk of subsequent epilepsy in specific subgroups, such as those with cerebrovascular disorders or head injuries.
  • Emphasizes that long-term preventive treatment is rarely indicated for these conditions.