Epilepsy Case Studies: Pearls for Patient Care

by William O. Tatum, Joseph I. Sirven, Gregory D. Cascino

Overview

Written by expert epilepsy clinicians from the Mayo Clinic, Epilepsy Case Studies: Pearls for Patient Care presents a wide variety of case histories drawn from "real life" experiences in people with seizures. Designed to stimulate the same deductive reasoning that is commonly used when seeing epilepsy patients in the clinic, this practical book presents the clinical scenario and then poses a range of stimulating questions to organize the reader's thoughts to address each case. Questions that revolve around each case include common ones such as "How does this test help us with the diagnosis?" and "What is the precise relationship of the patient's seizures to their overall neurological condition?" The most poignant questions include "How does this information help us to devise a treatment plan?" and "What do we know about the anticipated course and prognosis?" The questions raised in each section incorporate the clinical course and evaluation. Where possible, the discussion relies upon the latest medical evidence to support the responses and includes up-to-date techniques used for patients with and without seizure control. At the end of each case a few salient citations are referenced, as are a few of the more pertinent articles that the reader can reference to obtain an overview of the topic. Take-home messages are encapsulated in the form of clinical pearls that are designed to form the basic understanding of the case scenarios presented. A major contribution to the literature in epileptology, Epilepsy Case Studies: Pearls for Patient Care will be an invaluable reference for all clinicians who treat patients with epilepsy.

Product Details

ISBN-13:	9783319342566
Publisher:	Springer International Publishing
Publication date:	07/25/2017
Edition description:	Softcover reprint of the original 1st ed. 2014
Pages:	192
Product dimensions:	6.10(w) x 9.25(h) x 0.02(d)

About the Author

William O. Tatum, DO, FAAN, FACNS, FAES
Professor of Neurology
Mayo Clinic Alix School of Medicine
Director, Epilepsy Center
Mayo Clinic
Jacksonville, FL
USA

Joseph I. Sirven
Professor and Chair Emeritus
Division of Epilepsy
Department of Neurology
Mayo Clinic
4500 San Pablo Rd.
Jacksonville, FL
USA

Gregory D. Cascino, MD, FAAN, FANA, FACNS, FAES
Whitney MacMillan, Jr. Professor of Neuroscience
Mayo Clinic Alix School of Medicine
Enterprise Director of Epilepsy
Mayo Clinic
Rochester, MN
USA

Table of Contents

Cases

Neonatal onset-general (ie spasms)

Neonatal onset-focal (hyperglycinemia)

Febrile seizures

Childhood onset-general (CAE)

Lennox-Gastaut syndrome

Childhood onset-focal (BCECTS)

Adolescent onset-general (JME)

Adolescent onset-focal (unknown cause)

Stigmatization Effect (social consequences)

Physical and mental well-being (sports and education)

Physical Comorbidity (CP)

Mental Comorbidity (ADD/Austistic spectrum disorder)

Etiologies of a foreign tissue lesion

Head trauma

Precipitating factors (triggers)

Single seizure (treatment focus)

Drug cessation (treatment focus)

Epilepsy-adult (treatment focus)

Epilepsy-elderly (treatment focus)

Generic AEDs

Side effects

Drug interactions

Birth control

Hormonal replacement

Pregnancy (treatment focus)

Epileptic panic attacks (diagnosis)

Anxiety-Depression

Violence (frontal lobe seizures)

PNEA-women (diagnosis focus)

PNEA-men (treatment focus)

Drug-resistant-neurologically normal (“skip” surgery)

Drug-resistant-neurologically normal but complex (invasive EEG)

Drug-resistant surgical failure (treatment focus)

Work and disability

Memory loss

Status epilepticus-convulsive

Status epilepticus-non-convulsive

SUDEP

Experimental therapies (treatment)

Alternative therapies (treatment)