PMID: 11902324Mar 21, 2002Paper

Special needs of the adolescent with epilepsy

Epilepsia
D R Nordli

Abstract

Adjustment to the inherent changes of adolescence is a challenge for many children, even healthy ones. Epilepsy may make successful adjustment even more difficult by disrupting self-control, adversely affecting the ability to conform to one's peers, and interfering with independence. Epilepsy and its treatment may affect education, employment, use of alcohol and illicit drugs, sexual activity, and pregnancy. These issues, in turn, may affect seizure control. Matching the medicine to the patient is particularly important in teenagers, a group of patients with special needs. Common seizure syndromes presenting in adolescence are briefly reviewed and used to illustrate key issues that may arise in the selection of an antiepileptic medication (AED). Compliance, interaction with other medications including oral contraceptive medications, cosmetic effects, teratogenicity, and impact on behavior are all factors to be considered. Newer medications may have some advantages over older compounds in this regard, and evidence of their utility is reviewed in the specific context of the epilepsy syndromes. In addition to prescribing medication, other important parts of the therapeutic management involve education, counseling, support, and adv...Continue Reading

Citations

May 5, 2005·Epilepsy & Behavior : E&B·Gus A BakerHelen Soteriou
Mar 1, 2003·Epilepsy & Behavior : E&B·Carl E Stafstrom, Janice Havlena
Mar 3, 2011·Nature Reviews. Neurology·Catherine Chiron, Olivier Dulac
Sep 1, 2005·MCN. the American Journal of Maternal Child Nursing·Susana Marin
Mar 12, 2013·Epilepsy Currents·Jacqueline A French, Brigid A Staley
Jun 15, 2007·Current Medical Research and Opinion·Georgia D Montouris, Andy S Jagoda
Nov 30, 2013·Pediatric Neurology·Sunila E O'ConnorBeth Zupec-Kania
Dec 12, 2007·Seminars in Pediatric Neurology·Jay A Salpekar, David W Dunn
Nov 19, 2013·Developmental Medicine and Child Neurology·Lauren ThomsonGabriel M Ronen
Dec 8, 2004·Patient Education and Counseling·Franco Galletti, Maria Gabriella Sturniolo
Sep 21, 2005·Journal of Pediatric and Adolescent Gynecology·Cortney M BrownLesley Breech
May 5, 2012·Epilepsy & Behavior : E&B·Carl E StafstromAnthony J Krezinski
May 1, 2016·Seizure : the Journal of the British Epilepsy Association·R P J GeerlingsA J A de Louw
Feb 14, 2015·Epilepsy & Behavior : E&B·R P J GeerlingsA J A de Louw
Dec 17, 2014·Epilepsy & Behavior : E&B·Ksenija Gebauer-BukurovKsenija Bozic

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