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Epilepsy course during COVID-19 pandemic in three Italian epilepsy centers.
Cabona, Corrado; Deleo, Francesco; Marinelli, Lucio; Audenino, Daniela; Arnaldi, Dario; Rossi, Francesca; Di Giacomo, Roberta; Buffoni, Claudia; Rosa, Giuseppa Jolanda; Didato, Giuseppe; Arboscello, Eleonora; de Curtis, Marco; Villani, Flavio.
  • Cabona C; Division of Clinical Neurophysiology and Epilepsy Center, IRCCS Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, Genova, Italy. Electronic address: corrado.cabona@gmail.com.
  • Deleo F; Epilepsy Unit, Fondazione IRCCS Istituto Neurologico C. Besta, Via Celoria, Milano, Italy.
  • Marinelli L; Division of Clinical Neurophysiology and Epilepsy Center, IRCCS Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, Genova, Italy; Dept. of Neuroscience (DINOGMI), University of Genoa, Via Balbi 5, Genova, Italy.
  • Audenino D; Neurology Unit, E.O. Ospedali Galliera, Via Mura delle Cappuccine 14, Genova, Italy.
  • Arnaldi D; Neurology Clinic, IRCCS Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, Genova, Italy; Dept. of Neuroscience (DINOGMI), University of Genoa, Via Balbi 5, Genova, Italy.
  • Rossi F; Emergency Dept., IRCCS Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, Genova, Italy.
  • Di Giacomo R; Epilepsy Unit, Fondazione IRCCS Istituto Neurologico C. Besta, Via Celoria, Milano, Italy.
  • Buffoni C; Anesthesia and Intensive Care, IRCCS Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, Genova, Italy.
  • Rosa GJ; Epilepsy Unit, Fondazione IRCCS Istituto Neurologico C. Besta, Via Celoria, Milano, Italy; Epilepsy Center, Azienda Ospedaliero-Universitaria Sant'Anna di Cona, Via Aldo Moro, 8, 44124 Cona, Ferrara, Italy.
  • Didato G; Epilepsy Unit, Fondazione IRCCS Istituto Neurologico C. Besta, Via Celoria, Milano, Italy.
  • Arboscello E; Emergency Dept., IRCCS Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, Genova, Italy.
  • de Curtis M; Epilepsy Unit, Fondazione IRCCS Istituto Neurologico C. Besta, Via Celoria, Milano, Italy.
  • Villani F; Division of Clinical Neurophysiology and Epilepsy Center, IRCCS Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, Genova, Italy.
Epilepsy Behav ; 112: 107375, 2020 11.
Article in English | MEDLINE | ID: covidwho-728889
ABSTRACT
During epidemic outbreaks, epilepsy course can be modified by different physical and psychological stressors and, most importantly, by irregular therapy intake. The effect of COVID-19 and quarantine isolation on the course of epilepsy and on incidence of new-onset seizures is still unclear. With the aim of managing epilepsy in quarantined patients, three Italian Epilepsy Centers set up telephone consultations using a semistructured interview, allowing a prospective collection of data on seizure course and other seizure-related problems during pandemic. The collected data on seizure course were compared with the analogous period of 2019. The level of patients' concern relating to the COVID-19 pandemic was also assessed using a numeric rating scale. To address the effect of COVID-19 pandemic on seizure incidence, data collection included the number of consultations for first seizures, relapse seizures, and status epilepticus (SE) in the emergency department of one of the participating centers. Clinical telephone interviews suggest the absence of quarantine effect on epilepsy course in our cohort. No differences in incidence of emergency consultations for seizures over a two-month period were also observed compared with a control period. As demonstrated in other infective outbreaks, good antiepileptic drug (AED) supplying, precise information, and reassurance are the most important factors in chronic conditions to minimize psychological and physical stress, and to avoid unplanned treatment interruptions.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Seizures / Telemedicine / Coronavirus Infections / Epilepsy / Pandemics / Anticonvulsants Type of study: Cohort study / Observational study / Prognostic study / Qualitative research Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Epilepsy Behav Journal subject: Behavioral Sciences / Neurology Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Seizures / Telemedicine / Coronavirus Infections / Epilepsy / Pandemics / Anticonvulsants Type of study: Cohort study / Observational study / Prognostic study / Qualitative research Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Epilepsy Behav Journal subject: Behavioral Sciences / Neurology Year: 2020 Document Type: Article