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Fortschr Neurol Psychiatr ; 90(4): 147-162, 2022 Apr.
Artigo em Alemão | MEDLINE | ID: mdl-34198356

RESUMO

Self-induced seizures were first described in 1827. A majority of authors found that in unselected patients with epilepsy, the prevalence rate of these seizures was 1%. In patients with photosensitive epilepsy, there was roughly a 25% prevalence. Apart from visual stimulation, many other mechanisms of self-induction have been described. A feeling of pleasure or relaxation during seizures may be a reason for self-inductive behaviour. But often the procedure of self-induction is experienced as involuntary. Treatment is always difficult. Behavioral therapy has been proven effective in some patients. In patients with photosensitive epilepsy, sunglasses are recommended. Fenfluramine, clonazepam and valproate seem to be a bit more effective than other drugs. After all, the treatment effect depends on the motivation of the patient to change the condition.


Assuntos
Epilepsia Reflexa , Epilepsia Reflexa/tratamento farmacológico , Epilepsia Reflexa/epidemiologia , Humanos , Estimulação Luminosa/efeitos adversos , Prevalência , Convulsões/tratamento farmacológico , Convulsões/epidemiologia
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