PMID: 9548220Apr 21, 1998Paper

Epilepsy and learning disabilities--a challenge for the next millennium?

Seizure : the Journal of the British Epilepsy Association
J A Hannah, M J Brodie

Abstract

People with learning disabilities often have seizures in addition to other disorders. Precise diagnosis may be difficult, but accuracy can be improved using electroencephalographic and video investigations. Following the establishment of a diagnosis of epilepsy, individually tailored care is necessary taking into account other health, behavioural and therapeutic issues. Neuroimaging may indicate a need for surgery which should not be automatically excluded as a treatment option. Rational antiepileptic drug use is advised, with emphasis upon the newer agents due to their better tolerance and ease of use. A programme of regular review will prevent over-medicating. Drug therapy may be withdrawn in a seizure-free patient. Realistic goals should be established for each individual coupled with an optimistic approach to care. However, future developments require a solid evidence base combined with rationality in all aspects of management. The community learning disability epilepsy nurse specialist is the key health-care professional who can ensure that a learning disabled individual with epilepsy is able to take full advantage of all available services. Education, closer collaboration and the mutual recognition of skills will ensure m...Continue Reading

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Citations

Jan 31, 2004·Epilepsy & Behavior : E&B·Kevin KellyMartin J Brodie
Nov 18, 2000·Journal of Intellectual Disability Research : JIDR·C Bowley, M Kerr
Apr 16, 2002·Epilepsia·Kevin KellyMartin J Brodie
Feb 22, 2008·Epilepsia·Linda J Stephen, Martin J Brodie
May 7, 2014·Epilepsy & Behavior : E&B·Ramon Edmundo D BautistaMichael A Pizzi
May 25, 2010·Health & Social Care in the Community·Jennifer BeechamMartin Knapp
Dec 8, 2004·Epilepsy & Behavior : E&B·Kevin KellyMartin J Brodie
May 23, 2006·Epilepsy & Behavior : E&B·Willeke van BlarikomAd Th G van Gennep
Nov 9, 2000·Lancet·M J Brodie, J A French
Jun 20, 2006·Seizure : the Journal of the British Epilepsy Association·Catherine W McGrotherJoanna M Watson
May 1, 2007·Seizure : the Journal of the British Epilepsy Association·Esther Whitten, Andrew Griffiths
Jul 23, 2016·Seizure : the Journal of the British Epilepsy Association·Michelle DannenbergMarie-Anne Durand
Aug 23, 2006·Archives of Animal Nutrition·Carmen BirkenfeldKlaus Eder
May 27, 2020·Brain Informatics·Mohammad Khubeb SiddiquiNasir Hussain

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