medigraphic.com
ISSN 0185-3325 (Print)
Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz

2011, Number 5

<< Back Next >>

Salud Mental 2011; 34 (5)

Epilepsia infantil, diez puntos básicos para el psiquiatra

Reséndiz AJC, Aguirre-García E

Language: Spanish
References: 25
Page: 451-457
PDF size: 86.97 Kb.


ABSTRACT

This article discusses ten basic points of epilepsy in children that the psychiatrist should know in his medical practice. We mention the importance of the issue especially in children, since over 75% of patients start their epilepsy before 18 years, with a subsequent increase in the elderly.
Epidemiological studies of the Epilepsy Priority Program have shown a prevalence of 15x1000, this is more than a million and half of patients with epilepsy in the country. The article describes the current definition and discusses a new definition proposal which mentioned that epilepsy is a brain disease characterized by a predisposition to present lasting and permanent seizures with their biological, cognitive and psychosocial consequences. It emphasizes the different types of seizures according to the international classification and lists some types of seizures that can be difficult to recognize. Record a brief description of non-epileptic paroxysmal events than can be confused with epilepsy. Describes the usefulness of the electroencephalogram and neuroimaging studies in epilepsy.
It emphazises the importance of type of epilepsy, since different anticonvulsants are useful for specific seizures. It also mentions the most common behavioral and learning problems that children with epilepsy may present. The article clarifies some myths and provides recommendations for the long term follow up of these patients.


REFERENCES

  1. Feria Velasco A, Martínez de Muñoz D, Rubio Donnadieu F. Epilepsia aspectos neurobiológicos, médicos y sociales. México: Primera edición. Instituto Nacional de Neurología y Neurocirugía; 1997.

  2. Reséndiz Aparicio JC. Manual de trastornos del movimiento no epilépticos. México: Primera edición. Hospital Psiquiátrico Infantil; 2005.

  3. Rubio Donnadieu F, Reséndiz Aparicio JC, Sentíes Madrid H, Alonso Vanegas MA. Epilepsia. México: Primera edición. Programa Prioritario de Epilepsia; 2007.

  4. Fisher RS, van Emde Boas W, Blume W, Elger C et al. Epileptic seizures and epilepsy: Definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia 2005;46(4):470-472.

  5. Organización Mundial de la Salud. Clasificación Internacional de Enfermedades CIE-10. Madrid; 2000.

  6. American Psychiatric Association. Clasificación de Enfermedades Mentales de la DSM-IV- TR. Barcelona: Editorial Masson; 2000.

  7. Van Rootselaar AF, Van Westrum SS. The paroxysmaldyskinesias. Pract Neurol 2009;9(2):102-109.

  8. Strzelczyk A, Burk K, Ortel WH. Treatment of paroxysmal dyskinesias. Expert Opin Pharmacother 2011;12(1):63-72.

  9. Small JG. Psychiatric disorders and EEG. En: Niedermeyer E, Lopes da Silva F (eds.). Electroencephalography: Basic principles, clinical applications and related fields. Baltimore: Tercera edición; Williams and Wilkins; 1993.

  10. Leuchter AF, Daly KA, Rosenberg Thompson S, Abrams M. Prevalence and significance of electroencephalographic abnormalities in patients with suspected organic mental syndromes. J Am Geriatr 1993;41:605-611.

  11. Reséndiz Aparicio JC, Coiscou Domínguez NR, Yañez Acosta L. Actividad epileptiforme en trastornos psiquiátricos infantiles. Rev Neurol 2008;46(11):660-663.

  12. Wiebe S, Blume WT, Girvin JP, Eliasziw M. A randomized controlled trial of surgery for temporal lobe epilepsy. N Engl J Med 2001;345:311-318.

  13. Motamedi G, Meador K. Epilepsy and cognition. Epilepsy Behav 2003;(Supl 2):S25-S38.

  14. Roger J, Bureau M, Dravet Ch, Genton P et al. Epileptic syndromes in infancy, childhood and adolescence. Cuarta edición; Francia: John Libbey; 2005.

  15. White HS. Mechanism of action of newer anticonvulsants. J Clin Psychiatry 2003;64(Supl 8):5-8.

  16. Bourgeois BF. Differential cognitive effects of antiepileptic drugs. J Child Neurol 2002;17(Supl 2):2S28-2S33.

  17. Farwell JR, Lee YJ, Hirtz DG, Sulzbacher SI et al. Phenobarbital for febrile seizures—effects on intelligence and on seizure recurrence. N Engl J Med 1990;322(6):364-369.

  18. Weisbrot DW, Ettinger AB. Epilepsy and behavior: controversies and caveats. Neurologist 1997;3:155-172.

  19. Perrine K, Congett S. Neurobehavioral problems in epilepsy. Neurologic Clinics 1994;12(1):129-152.

  20. Smith KR Jr, Goulding PM, Wilderman D, Goldfader PR et al. Neurobe-havioral effects of phenytoin and carbamazepine in patients recovering from brain trauma: a comparative study. Arch Neurol 1994;51(7):653-660.

  21. Aldenkamp AP, Vermeulen J. Effects of antiepileptics drugs on cognition. Rev Neurol 2002;34(9):851-856.

  22. Brunbech L, Sabers A. Effect of antiepileptic drugs on cognitive function in individuals with epilepsy: a comparative review of newer versus older agents. Drugs 2002;62(4):593-604.

  23. Aldenkamp AP, De Krom M, Reijs R. Newer antiepileptic drugs and cognitive issues. Epilepsia 2003;44(Supl 4):21-29.

  24. Loring DW et al. Cognitive side effects of antiepileptic drugs in children. Neurology 2004;62:872-877.

  25. Sankar R, Holmes GL. Mechanisms of action for the commonly used antiepileptic drugs: relevance to antiepileptic drug-associated neurobehavioral adverse effects. J Child Neurol 2004;(Supl 1):S6-s14.




2020     |     www.medigraphic.com