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Related Experiment Videos

[Refractory epilepsies].

M de Albuquerque1, E E Lauda, T H Pinto

  • 1Escola Paulista de Medicina, Setor de Investigação e Tratamento das Epilepsias (SITE-EPM), São Paulo.

Revista Paulista De Medicina
|September 1, 1990
PubMed
Summary
This summary is machine-generated.

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Intractable epilepsy is often linked to social and emotional factors, with half of patients showing poor treatment adherence. Addressing these aspects is key to managing difficult-to-treat epilepsy cases.

Area of Science:

  • Neurology
  • Epileptology

Context:

  • Intractable epilepsy presents complex challenges in diagnosis and management.
  • Multidisciplinary evaluation is crucial for understanding patient needs.

Purpose:

  • To describe the characteristics of intractable epilepsies.
  • To evaluate the role of multidisciplinary assessment in managing these conditions.

Summary:

  • This study analyzed 80 patients with frequent seizures, revealing a mean age of onset at 12.6 years.
  • Symptomatic partial epilepsy was prevalent (70%), with unknown etiology in 47.5% and neurocysticercosis in 22.5%.
  • Poor treatment adherence (50%), emotional factors (56.25%), and social maladjustment (60%) were significant findings, alongside various electroencephalographic abnormalities.

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Impact:

  • Findings suggest that social, emotional, and adherence issues contribute significantly to intractable epilepsy.
  • A substantial portion of cases may be misclassified due to non-adherence and psychosocial factors, highlighting the need for comprehensive care.