RESUMO
The objective of this study was to determine prevalence and predictive risk factors of suicidality in a large sample of epilepsy outpatients. We prospectively examined 193 consecutive adult epilepsy outpatients for depression, including suicidal ideation. Demographic and epilepsy factors, medication toxicity and health-related quality of life were also evaluated. The prevalence of suicidal ideation within the past two weeks was 11.9%. Although medication toxicity, health-related quality of life and BDI scores were each associated with suicidal ideation in the bivariate analyses, only the BDI remained significant in the logistic regression analysis. About one-fourth of the subjects with suicidal ideation had no significant symptoms of depression. Recent thoughts of suicide are a common occurrence in the outpatient epilepsy clinic setting, but these are not predicted by gender, age, seizure factors, medication toxicity or self-perceived quality of life. Although depression is associated with suicidal ideation, about one-fourth of the suicidal subjects were euthymic or only mildly depressed.
Assuntos
Depressão/epidemiologia , Depressão/psicologia , Epilepsia/epidemiologia , Epilepsia/psicologia , Qualidade de Vida , Suicídio/psicologia , Adulto , Anticonvulsivantes/uso terapêutico , Epilepsia/tratamento farmacológico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica , Análise de Regressão , Convulsões/epidemiologia , Convulsões/psicologia , Suicídio/estatística & dados numéricos , Inquéritos e QuestionáriosRESUMO
Occipital alpha subharmonics are a normal EEG variant. Unilateral occipital slowing, however, is associated with focal dysfunction of that particular side. We report a 10-year-old girl with the incidental EEG finding of unilateral occipital slowing. MRI of her brain was completely normal and on long-term follow up she remained healthy. Based on her clinical history, normal MRI of brain, and the character of the slow posterior rhythms, we conclude that unilateral slow alpha rhythm can be a normal variant akin to alpha subharmonics.
Assuntos
Ritmo alfa , Lobo Occipital/fisiopatologia , Criança , Feminino , HumanosRESUMO
Why do some people spend most of the night tossing and turning while others drop off as quickly as a cat in the sun? There are many possible explanations for problems with falling and staying asleep and, sometimes, patients actually get a lot more sleep than they think they do. Each type of insomnia has its own set of symptoms, which can be used, along with appropriate diagnostic tools, to help in identification. In this article, Dr. Attarian describes differential diagnosis and summarizes the best treatment approaches to the common causes of insomnia.
