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Manual of Epilepsy: Medical Management and Social Aspects
HV Srinivas
CHAPTER 1:
Epilepsy: Medical Aspects
‘SEIZURE’ AND ‘EPILEPSY’
EPILEPSY
Definition
STEP-BY-STEP CLINICAL APPROACH TO DIAGNOSIS
STEP 1: IS IT A SEIZURE?
Syncope
Case History (Syncope)
Case History (Situational Syncope)
Case History (Micturition Syncope)
Case History (Cough Syncope)
Nonepileptic Attack Disorder
Case History (NEAD)
Transient Ischemic Attack
Panic Attacks
Case History (Panic Attack)
Hyperventilation
Hypnic Jerks
STEP 2: IS THE SEIZURE PROVOKED OR UNPROVOKED?
Acute Symptomatic Seizures/Provoked Seizures
Case History (Alcohol Withdrawal Seizure)
Case History (Hypoglycemic Attacks)
Case History (Gas Geyser–Seizures)
STEP 3: SINGLE SEIZURE OR TWO OR MORE?
STEP 4: IF EPILEPSY—WHAT TYPE OF EPILEPSY?
Case History (Sleep GTCS)
Case History (Absence)
Juvenile Myoclonic Epilepsy
Case History (JME)
Grand Mal on Awakening
Complex Partial Seizure
Case History (CPS)
Simple Partial Seizure
Frontal Lobe Seizures
STEP 5: IS THE EPILEPSY IDIOPATHIC OR SYMPTOMATIC? —INVESTIGATIONS
Which Imaging: CT or MRI?
Repeat Imaging
Case History (Repeat Imaging)
Symptomatic Epilepsy
Case History (SSECTL)
Incidental Imaging Findings
Head Injury
Electroencephalography
What is the Role of EEG in Epilepsy?
Case History (EEG Utility)
Misuse of EEG
MANAGEMENT
Management of Acute Attack
How do you Treat Tongue Bite?
What Drug to Administer?
Management of First Unprovoked Seizure
Management to Prevent Next Attack
When to Start Antiepileptic Drugs
The Choice of AED
Generalized Tonic-clonic Seizure
Absences
Complex Partial Seizures
Simple Partial Seizure
Juvenile Myoclonic Epilepsy
AED and Side Effects
When the First AED Fails what to do
When to Start Add-on Drugs
How Long to Treat
Follow-up
Intermittent Use of Clobazam
When to Stop Antiepileptic Drugs
How to Taper Off
What is the Recurrence Rate?
Drug-resistant Epilepsy
How to Manage Intractable Epilepsy
Surgery for Epilepsy
Functional Imaging
Other Methods of Treatment
Ketogenic Diet
Vagus Nerve Stimulation
EPILEPSY IN SPECIAL SITUATIONS
Epilepsy and Children
Epilepsy and Senior Citizens
Case History (Seizures in Elderly)
Epilepsy and Women
Epilepsy and Pregnancy
Effect of Pregnancy on Epilepsy
Effect of Epilepsy on Pregnancy
Major Congenital Malformations and Minor Anomalies
Bone Health
Labor
Breastfeeding
Management Principles in Women with Epilepsy
Status Epilepticus
Definition
PREVENTION OF EPILEPSY
CHAPTER 2:
Epilepsy: Social Aspects
INTRODUCTION
GENERAL INFORMATION
Hereditary
Types of Epilepsy
Generalized Epilepsy
Generalized Tonic-clonic Seizures
Absences
Juvenile Myoclonic Epilepsy
Partial Epilepsy
Simple Partial Motor Seizures
Complex Partial Seizures
Diagnosis
Epilepsy Mimics
Investigations
FIRST AID
TREATMENT
Trigger Factors
Alternate Therapy
EPILEPSY AND LAW
Epilepsy and Driving
Antidiscrimination Law
Education
Epilepsy and TV/Computer
EPILEPSY AND MARRIAGE
SPORTS AND LEISURE ACTIVITIES
Epilepsy and Pregnancy
Epilepsy and Children
Epilepsy and Senior Citizens
CAN WE PREVENT EPILEPSY?
FAMOUS PEOPLE WITH EPILEPSY
INDEX
TOC
Index
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