Change search
ReferencesLink to record
Permanent link

Direct link
Seizures and therapy in adolescents with uncomplicated epilepsy.
Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
Faculty of Health Sciences, Department of Neurology, Linköping University, Linköping, Swede.
2003 (English)In: Seizure, ISSN 1059-1311, Vol. 12, no 4, 229-36 p.Article in journal (Refereed) Published
Abstract [en]

PURPOSE: This study aimed to describe seizures and their therapy among Swedish adolescents, aged 13-22, with active but uncomplicated epilepsy.

METHOD: The adolescents answered questionnaires (158/193). Data were also obtained from medical records.

RESULTS: Epileptic seizure types could be specified in 92.1% of the cases. Predominant types were Primary Generalised Tonic-Clonic Seizures and Partial Complex Seizures with Secondary Generalisation. Clinical diagnoses by physicians were unspecified in 25.8%. Ninety percent were on antiepileptic drugs (AEDs), most commonly valproate and carbamazepine. New AEDs were used in 9.3% of the cases and polytherapy in 13.9%. More than 40% of the respondents had seizures despite AED treatment. Side effects of AEDs were experienced by 61%, most commonly tiredness, concentration difficulties and headache. Patients on polytherapy experienced significantly more side effects. The choice of a new AED over a traditional one was not related to seizure type or seizure control.

CONCLUSIONS: Many adolescents had persistent seizures despite treatment at a specialist regional epilepsy centre. This, plus the high reported rate of side effects of AED treatment, suggests that treatment is not optimal for the group studied. As traditional AEDs strongly dominated treatment possibly newly marketed AEDs are underused in this group.

Place, publisher, year, edition, pages
2003. Vol. 12, no 4, 229-36 p.
National Category
Health Sciences
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:kau:diva-30235PubMedID: 12763471OAI: oai:DiVA.org:kau-30235DiVA: diva2:667264
Available from: 2013-11-26 Created: 2013-11-26 Last updated: 2013-12-17Bibliographically approved

Open Access in DiVA

No full text

PubMed

Search in DiVA

By author/editor
Räty, LenaWilde-Larsson, Bodil
By organisation
Department of Nursing
In the same journal
Seizure
Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 47 hits
ReferencesLink to record
Permanent link

Direct link