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https://www.readbyqxmd.com/read/29453113/epidemiological-profile-of-epilepsy-in-low-income-populations
#1
REVIEW
Camilo Espinosa-Jovel, Rafael Toledano, Ángel Aledo-Serrano, Irene García-Morales, Antonio Gil-Nagel
Epilepsy is a global disease with an unequal distribution. About 80% of the affected individuals reside in low and middle income countries. The incidence and prevalence of epilepsy in low income populations is higher than in the rest of the world, this is partly explained by some risk factors such as head trauma, perinatal injury and CNS infections, which are more common in poor regions, especially in rural areas. Epilepsy is considered a treatable condition with high rates of therapeutic response. About three fourths of patients achieve control of the disease with the use of antiepileptic drugs, however, despite this benign prognosis, over 75% of patients from low income populations do not receive treatment at all...
February 8, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/29453112/pattern-and-determinants-of-self-reported-enacted-stigma-among-rural-dwellers-living-with-epilepsy-attending-a-tertiary-health-facility-in-enugu-state-nigeria
#2
Birinus A Ezeala-Adikaibe, Justin U Achor, Eddy Aneke, Uchenna Ijoma, Obinna D Onodugo, Casmir Orjioke, Chinwe Onyekonwu, Oluchi Ekenze
PURPOSE: Epilepsy related stigma is a barrier to recovery and has been linked to a broad range of psychosocial consequences and has the potential to influence the provision of care to people with epilepsy. Understanding the determinants of enacted stigma in epilepsy is relevant in the understanding of the burden of epilepsy in Nigeria. METHOD: Using a semi-structured questionnaire, a cross-sectional descriptive study was conducted among rural dwellers receiving treatment for epilepsy in a tertiary referral specialist hospital in Enugu, south east Nigeria...
February 10, 2018: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/29445916/bottom-of-sulcus-focal-cortical-dysplasia-presenting-as-epilepsia-partialis-continua-multimodality-characterization-including-7t-mri
#3
Sarah A Kelley, Shenandoah Robinson, Nathan E Crone, Bruno P Soares
INTRODUCTION: Bottom-of-sulcus focal cortical dysplasias are an under recognized, surgically treatable cause of focal epilepsy. Resection can dramatically reduce the seizure burden for children with refractory epilepsy, or eliminate seizures altogether. MATERIAL AND METHODS: We report the case and present the results of multimodality evaluation of a 15-year-old young man who presented with long-standing partial epilepsy affecting his right leg, which over the years became refractory to therapy...
February 14, 2018: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/29422636/childhood-epilepsy-and-adhd-comorbidity-in-an-indian-tertiary-medical-center-outpatient-population
#4
Anita Choudhary, Sheffali Gulati, Rajesh Sagar, Naveen Sankhyan, Kam Sripada
This study aimed to assess the prevalence of Attention Deficit Hyperactivity Disorder (ADHD) and its characteristics and risk factors in children with epilepsy at a tertiary medical center in New Delhi. Children with active epilepsy, aged 6 to 12 years, were assessed for ADHD using DSM-IV-TR criteria. Epilepsy and psychiatric characteristics, sociodemographic indicators, and use of antiepileptic drugs were analyzed for differences between the ADHD and non-ADHD groups. Among the 73 children with epilepsy, 23% (n = 17) had comorbid ADHD, of whom 59% (n = 10) had predominantly inattentive type, 35% (n = 6) combined type, and 6% (n = 1) predominantly hyperactive-impulsive type...
February 8, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29422360/epapp-development-and-evaluation-of-a-smartphone-tablet-app-for-adolescents-with-epilepsy
#5
Fleur A Le Marne, Sharlene Butler, Erin Beavis, Deepak Gill, Ann M E Bye
The study aimed to comprehensively evaluate a mobile application (EpApp), designed with stakeholder input, to educate and facilitate management of adolescents with epilepsy. A prospective cohort of adolescents with epilepsy (13-19 years) and their parent/carer participated between June 2015 and December 2016. Primary outcome measure was knowledge acquisition. Secondary outcomes were psychosocial variables (attitude towards illness and seizure self-efficacy) and clinical parameters (medication adherence, seizure burden)...
February 5, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29414554/economic-impact-of-epilepsy-and-the-cost-of-nonadherence-to-antiepileptic-drugs-in-older-medicare-beneficiaries
#6
Queeny Ip, Daniel C Malone, Jenny Chong, Robin B Harris, David M Labiner
Epilepsy is most prevalent among older individuals, and its economic impact is substantial. The development of economic burden estimates that account for known confounders, and using percent incremental costs may provide meaningful comparison across time and different health systems. The first objective of the current study was to estimate the percent incremental healthcare costs and the odds ratio (OR) for inpatient utilization for older Medicare beneficiaries with epilepsy and without epilepsy. The second objective was to estimate the percent incremental healthcare costs and the OR for inpatient utilization associated with antiepileptic drug (AED) nonadherence among Medicare beneficiaries with epilepsy...
February 2, 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29382091/epilepsy-a-call-for-help
#7
Venkatraman Sadanand
Epilepsy is a considerable individual and social economic burden. In properly selected patients, epilepsy surgery can provide significant relief from disease, including remission. However, the surgical treatment of epilepsy lags in terms of knowledge and technology. The problem arises due to its slow adaptation and dissemination. This article explores this issue of a wide treatment gap and its causes. It develops a framework for a rational decision-making process that is appropriate for extant circumstances and will result in the speedy delivery of surgical care for suitable patients with medically intractable epilepsy...
January 28, 2018: Brain Sciences
https://www.readbyqxmd.com/read/29377098/pcdh19-related-epilepsy-is-associated-with-a-broad-neurodevelopmental-spectrum
#8
Lacey Smith, Nilika Singhal, Christelle M El Achkar, Gessica Truglio, Beth Rosen Sheidley, Joseph Sullivan, Annapurna Poduri
OBJECTIVE: To characterize the features associated with PCDH19-related epilepsy, also known as "female-limited epilepsy." METHODS: We analyzed data from participants enrolled in the PCDH19 Registry, focusing on the seizure-related, developmental, neurobehavioral, and sleep-related features. We evaluated variants for pathogenicity based on previous reports, population databases, and in silico predictions, and included individuals with pathogenic or potentially pathogenic variants...
January 28, 2018: Epilepsia
https://www.readbyqxmd.com/read/29369457/the-economic-burden-of-epilepsy-in-bhutan
#9
Leah Wibecan, Günther Fink, Lhab Tshering, Verónica Bruno, Bryan Patenaude, Damber K Nirola, Chencho Dorji, Ugyen Dema, Dillram Pokhrel, Farrah J Mateen
OBJECTIVE: To assess the economic impact of epilepsy in Bhutan, a lower-middle-income country with a universal health care system, but with limited access to neurological care. METHODS: A cross-sectional survey was conducted of patients with epilepsy at the Jigme Dorji Wangchuk National Referral Hospital from January to August, 2016. Data were collected on clinical features, cost of care, impact of epilepsy on school or work, and household economic status of participants and matched comparisons (a sibling or neighbor from a household without epilepsy)...
January 25, 2018: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/29363096/electroclinical-findings-and-long-term-outcomes-in-epileptic-patients-with-inv-dup-15
#10
S Matricardi, F Darra, A Spalice, C Basti, E Fontana, B Dalla Bernardina, M Elia, L Giordano, P Accorsi, R Cusmai, P De Liso, A Romeo, F Ragona, T Granata, D Concolino, M Carotenuto, P Pavone, D Pruna, P Striano, S Savasta, A Verrotti
OBJECTIVE: To define the electroclinical phenotype and long-term outcomes in a cohort of patients with inv dup (15) syndrome. MATERIAL AND METHODS: The electroclinical data of 45 patients (25 males) affected by inv dup (15) and seizures were retrospectively analysed, and long-term follow-up of epilepsy was evaluated. RESULTS: Epilepsy onset was marked by generalized seizures in 53% of patients, epileptic spasms in 51%, focal seizures in 26%, atypical absences in 11% and epileptic falls in 9%...
January 23, 2018: Acta Neurologica Scandinavica
https://www.readbyqxmd.com/read/29358611/exome-wide-analysis-of-mutational-burden-in-patients-with-typical-and-atypical-rolandic-epilepsy
#11
Dheeraj R Bobbili, Dennis Lal, Patrick May, Eva M Reinthaler, Kamel Jabbari, Holger Thiele, Michael Nothnagel, Wiktor Jurkowski, Martha Feucht, Peter Nürnberg, Holger Lerche, Fritz Zimprich, Roland Krause, Bernd A Neubauer, Eva M Reinthaler, Fritz Zimprich, Martha Feucht, Hannelore Steinböck, Birgit Neophytou, Julia Geldner, Ursula Gruber-Sedlmayr, Edda Haberlandt, Gabriel M Ronen, Janine Altmüller, Dennis Lal, Peter Nürnberg, Thomas Sander, Holger Thiele, Roland Krause, Patrick May, Rudi Balling, Holger Lerche, Bernd A Neubauer
Rolandic epilepsy (RE) is the most common focal epilepsy in childhood. To date no hypothesis-free exome-wide mutational screen has been conducted for RE and atypical RE (ARE). Here we report on whole-exome sequencing of 194 unrelated patients with RE/ARE and 567 ethnically matched population controls. We identified an exome-wide significantly enriched burden for deleterious and loss-of-function variants only for the established RE/ARE gene GRIN2A. The statistical significance of the enrichment disappeared after removing ARE patients...
January 22, 2018: European Journal of Human Genetics: EJHG
https://www.readbyqxmd.com/read/29351667/what-to-expect-and-when-benznidazole-toxicity-in-chronic-chagas-disease-treatment
#12
E Aldasoro, E Posada, A Requena-Méndez, A Calvo-Cano, N Serret, A Casellas, S Sanz, D Soy, M J Pinazo, J Gascon
Background: Benznidazole is one of the two most effective antiparasitic drugs for Chagas' disease treatment. However, knowledge about its toxicity profile is mostly based on post-marketing observational studies. Objectives: Our study combines data from two prospective clinical trials designed to assess the safety of the drug newly produced by ELEA Laboratories (Abarax®). Methods: Eligible participants were selected using a consecutive sampling strategy in the CINEBENZ and BIOMARCHA studies between 2013 and 2016 (EUDRACT 2011-002900-34 and 2012-002645-38, respectively, and clinicaltrials...
January 16, 2018: Journal of Antimicrobial Chemotherapy
https://www.readbyqxmd.com/read/29321970/deepied-an-epileptic-discharge-detector-for-eeg-fmri-based-on-deep-learning
#13
Yongfu Hao, Hui Ming Khoo, Nicolas von Ellenrieder, Natalja Zazubovits, Jean Gotman
Presurgical evaluation that can precisely delineate the epileptogenic zone (EZ) is one important step for successful surgical resection treatment of refractory epilepsy patients. The noninvasive EEG-fMRI recording technique combined with general linear model (GLM) analysis is considered an important tool for estimating the EZ. However, the manual marking of interictal epileptic discharges (IEDs) needed in this analysis is challenging and time-consuming because the quality of the EEG recorded inside the scanner is greatly deteriorated compared to the usual EEG obtained outside the scanner...
2018: NeuroImage: Clinical
https://www.readbyqxmd.com/read/29321700/validation-and-reliability-study-of-the-turkish-version-of-the-stigma-scale-of-epilepsy
#14
Nevin Kuloğlu Pazarci, Nihan Parasiz Yükselen, Şenay Aydın, Zeynep Ünlüsoy Acar, Dilek Necioğlu Örken
Introduction: We aimed to validate the Turkish version of the Stigma Scale of Epilepsy (SSE) (from Brazil) and present the results. Method: The SSE was completed by 33 patients with epilepsy (PWE), 25 of the patients' family members, and 23 people from the community. Subjects were interviewed on an individual basis; a physician read the questions and the subjects wrote the answers on a sheet. The form was the same for all subjects. In addition, the Beck Depression Inventory (BDI) and the Hamilton Anxiety Inventory (HAI), Short Form-36 (SF-36) were completed by the subjects...
December 2017: Noro Psikiyatri Arsivi
https://www.readbyqxmd.com/read/29310907/co-occurrence-and-severity-of-neurodevelopmental-burden-cognitive-impairment-cerebral-palsy-autism-spectrum-disorder-and-epilepsy-at-age-10-years-in-children-born-extremely-preterm
#15
Rachel G Hirschberger, Karl C K Kuban, Thomas M O'Shea, Robert M Joseph, Tim Heeren, Laurie Douglass, Carl E Stafstrom, Hernan Jara, Jean A Frazier, Deborah Hirtz, Julie Rollins, Nigel Paneth
BACKGROUND: This study aims to determine the prevalence of neurodevelopmental impairments at age ten years among children born extremely preterm (less than 28 weeks gestational age) and to offer a framework for categorizing neurological limitations. METHODS: A multicenter, prospective cohort follow-up study recruited 889 ten-year-old children born from 2002 to 2004. We assessed prevalence of cognitive impairment, measured by intelligent quotient and tests of executive function, cerebral palsy (CP), autism spectrum disorder (ASD), and epilepsy singly and in combination...
November 13, 2017: Pediatric Neurology
https://www.readbyqxmd.com/read/29306906/-psychiatric-disorders-in-epilepsy-clinical-phenomena
#16
Anna Szucs, Andras Horvath, Daniel Fabo, Geza Szabo, Andrea Kovacs, Peter Halasz
The frequent psychiatric comorbidity in epilepsy compromises the quality of life of those affected, further increasing their suicide risk and the high burden of stigmatisation. Out of adulthood epilepsies, mesio-temporal lobe epilepsy carries the highest cognitive and psychiatric risk, making mental health comorbidities its inherent features. The pathomechanism of the epilepsy-related mental health symptoms and conditions appears to be related to undetected subclinical seizures, postictal exhaustion and inhibition, and the non-REM sleep related interictal epileptic activity...
September 2017: Neuropsychopharmacologia Hungarica
https://www.readbyqxmd.com/read/29302325/prevalence-of-epilepsy-in-china-between-1990-and-2015-a-systematic-review-and-meta-analysis
#17
Peige Song, Yezhou Liu, Xinwei Yu, Jingjing Wu, Adrienne N Poon, Alessandro Demaio, Wei Wang, Igor Rudan, Kit Yee Chan
Background: Epilepsy is a major neurological disorder that affects approximately 65 million people worldwide. Globally, the burden of epilepsy is not evenly distributed, with more than 80% of sufferers residing in low- and middle-income countries. This study estimates the burden of epilepsy in mainland China from 1990 to 2015 and explores the variations of burden by age and gender. Methods: We conducted a systematic review of the peer-reviewed literature from 1990 to 2015 using Chinese and English academic databases (CNKI, WanFang, VIP and PubMed) to identify population-based prospective studies on the prevalence of epilepsy in mainland Chinese...
December 2017: Journal of Global Health
https://www.readbyqxmd.com/read/29279188/clinical-correlates-of-negative-health-events-in-a-research-sample-with-epilepsy
#18
Neha Kumar, Kari Colon-Zimmermann, Edna Fuentes-Casiano, Hongyan Liu, Curtis Tatsuoka, Kristin A Cassidy, Mustafa Kahriman, Peijun Chen, Martha Sajatovic
AIMS: In spite of advances in care, people with epilepsy experience negative health events (NHEs), such as seizures, emergency department (ED) visits, and hospitalizations. Being able to identify characteristics that are associated with NHE risk can help inform care approaches that reduce complications and burden. This analysis using baseline data from a larger randomized epilepsy self-management clinical trial assessed the relationship between demographic and clinical variables vs. seizure-related complications among people with epilepsy...
December 23, 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29273305/the-production-of-il-6-in-acute-epileptic-seizure-a-video-eeg-study
#19
Tiina Alapirtti, Kai Lehtimäki, Riina Nieminen, Riikka Mäkinen, Jani Raitanen, Eeva Moilanen, Jussi Mäkinen, Jukka Peltola
Experimental and clinical reports highlight the role of cytokines in pathophysiological processes in underpinning epilepsy, but the clinical data remains somewhat limited. The levels of Interleukin (IL)-6 were measured in serum from 49 patients with refractory epilepsy [temporal lobe epilepsy (TLE, n=23), extratemporal lobe epilepsy (XLE, n=22), and idiopathic generalized epilepsy (IGE, n=4)] before and after the first verified seizure (IS; index seizure) during inpatient video-electroencephalographic (VEEG) monitoring...
December 15, 2017: Journal of Neuroimmunology
https://www.readbyqxmd.com/read/29248866/a-discrete-choice-experiment-to-elicit-preferences-of-patients-with-epilepsy-for-self-management-programs
#20
Edward Atkinson-Clark, Mata Charokopou, Nancy Van Osselaer, Mickaël Hiligsmann
BACKGROUND: There is an increasing number of self-management programs developed for patients with epilepsy, with the goal of supporting treatment management and improving their quality of life. With the aim of increasing medication adherence and effectiveness of self-management programs, it is important to design programs that are engaging to, and align with the preferences of patients with epilepsy. This study aimed to evaluate and compare the preferences of patients with epilepsy for self-management programs in three European countries...
December 14, 2017: Epilepsy & Behavior: E&B
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