ABSTRACT
Objective: because treatment is aimed on seizure control, the stress produced by the disease is often neglected. The objective of this study was to evaluate the impact of epilepsy related stress on family and children with epilepsy. Methodology: this study was performed at the Pediatric Epilepsy Clinic of Outpatient Clinic of Neurology HC-Unicamp. We used the following instruments: Inventário de Sintomas de Stress para Adultos (ISSL) and Escala de Stress Infantil (ESI). Result: thirty consecutive patients were evaluated. Children stress was proportionally related to parental stress. Age of epilepsy onset, duration of epilepsy and seizure control did not influence the occurrence of stress. Conclusion: Epilepsy related stress is very frequent in children with epilepsy and usually is proportional to parental stress...
Objetivo: como o controle das crises epiléticas está no foco do tratamento da epilepsia, o estresse produzido pela doença é quase sempre negligenciado. Nesse sentido, o objetivo deste estudo foi avaliar o impacto da epilepsia relacionado ao estresse na família e nas crianças com epilepsia. Metodologia: o presente estudo foi desenvolvido na Clínica de Epilepsia Pediátrica do Ambulatório de Neurologia do Hospital de Clínicas da Unicamp, a partir dos seguintes instrumentos: Inventário de Sintomas de Stress para Adultos (ISSL) e Escala de Stress Infantil (ESI). Resultado: foram analisados 30 pacientes. Crianças com estresse estiveram proporcionalmente relacionadas ao estresse parental. A idade de início da epilepsia, a duração da epilepsia e o controle das crises não influenciaram a ocorrência de estresse. Conclusão: a epilepsia associada ao estresse é bastante frequente em crianças com epilepsia, e geralmente é proporcional ao estresse parental...
Subject(s)
Child , Epilepsy , Epilepsy/psychologyABSTRACT
Introduction: the anti- N-methyl-D-aspartate-receptor (NMDAR) encephalitis is a relatively rare auto-immune disease characterized by a severe encephalopathy with subacute onset of behavioral and neuropsychiatric symptoms. Methods: we discuss three cases of children with encephalitis in which we identified anti-NMDAR antibodies. Results: the three patients had similar onset symptoms: status epilepticus followed by behavioral changes and chorea. Conclusions: encephalitis anti- NMDAR should be included in the differential diagnosis of acute and subacute encephalitis in children presenting status epilepticus and extrapyramidal movement disorder...
Introdução: a encefalite com anticorpos anti-receptor N-metil-D-aspartato (NMDAR) é uma doença autoimune relativamente rara, caracterizada por uma encefalopatia grave com aparecimento de sintomas comportamentais e neuropsiquiátricos de forma subaguda. Métodos: discutir três casos de crianças com encefalite em que identificamos anticorpos anti-NMDAR. Resultados: os três pacientes tiveram o início dos sintomas semelhantes: estado de mal epiléptico seguido de alterações comportamentais e coréia. Conclusões: encefalite anti-NMDAR deve ser incluído no diagnóstico diferencial de encefalite aguda e subaguda em crianças com estado de mal epiléptico e distúrbio de movimento...
Subject(s)
Humans , Anti-N-Methyl-D-Aspartate Receptor Encephalitis , Autoimmune Diseases of the Nervous System , Brain Diseases , Epilepsy , KoreaABSTRACT
Epilepsy can affect the quality of life (QOL) of patients. The temporal lobe epilepsy (TLE) is often refractory to medication, which has an adverse impact on QOL. The surgery can be a form to control the seizures and to improve the QOL of the patients. OBJECTIVE: The aim of this study was to verify the QOL of children and adolescents with TLE who underwent surgery for epilepsy, comparing QOL before and after surgery and investigating which parameters showed improvement. METHOD: We used semi-structured questionnaire in the pre-and post-surgery in 13 patients. The data were analyzed using the Wilcoxon test. RESULTS: The analysis showed that there was general improvement in the QOL postoperatively. There was improvement in general health issues, adverse effects of antiepileptic drugs and the relationship with parents. CONCLUSION: When properly indicated, epilepsy surgery improves quality of life of patients with TLE.
Epilepsia pode afetar a qualidade de vida (QV) de pacientes. A epilepsia de lobo temporal (ELT) é frequentemente refratária ao tratamento medicamentoso, o que tem impacto negativo na QV. A cirurgia pode trazer controle das crises e melhorar a QV de pacientes com epilepsia. OBJETIVO: O objetivo desse estudo foi verificar a QV de crianças e adolescentes com ELT que foram submetidos à cirurgia para epilepsia, comparando a QV antes e após a intervenção cirúrgica, verificando quais foram os parâmetros que apresentaram melhora. MÉTODO: Um questionário semi-estruturado foi aplicado durante a avaliação pré e pós cirúrgica em 13 pacientes. Os dados foram analisados utilizando-se o teste de Wilcoxon. RESULTADOS: A análise mostrou que houve melhora global da QV no pós-operatório. Houve melhora em aspectos gerais da saúde, eventos adversos de drogas antiepilépticas e relacionamento com os pais. CONCLUSÃO: Quando adequadamente indicada, a cirurgia para epilepsia melhora a QV de pacientes com ELT.
Subject(s)
Adolescent , Child , Female , Humans , Male , Young Adult , Epilepsy, Temporal Lobe/surgery , Quality of Life , Anticonvulsants/therapeutic use , Epilepsy, Temporal Lobe/drug therapy , Epilepsy, Temporal Lobe/psychologyABSTRACT
Recurrent episodes of abdominal pain are common in childhood. Among the diagnostic possibilities are migraine and abdominal epilepsy (AE). AE is an infrequent syndrome with paroxystic episodes of abdominal pain, awareness disturbance, EEG abnormalities and positive results with the introduction of antiepileptic drugs. We present one 6 year-old girl who had short episodes of abdominal pain since the age of 4. The pain was followed by cry, fear and occasionally secondary generalization. MRI showed tumor in the left temporal region. As a differential diagnosis, we report a 10 year-old boy who had long episodes of abdominal pain accompanied by blurring of vision, vertigo, gait ataxia, dysarthria, acroparesthesias and vomiting. He received the diagnosis of basilar migraine. In our opinion, AE is part of a large group (partial epilepsies) and does not require a special classification. Pediatric neurologists must be aware of these two entities that may cause abdominal pain