Book contents
- Understanding Epilepsy
- Understanding Epilepsy
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Chapter 1 Pathophysiology of Epilepsy
- Chapter 2 Physiologic Basis of Epileptic EEG Patterns
- Chapter 3 Pathology of the Epilepsies
- Chapter 4 Classifications of Seizures and Epilepsies
- Chapter 5 Electro-clinical Syndromes and Epilepsies in the Neonatal Period, Infancy, and Childhood
- Chapter 6 Familial Electro-clinical Syndromes and Epilepsies in Adolescence to Adulthood
- Chapter 7 Distinctive Constellations and Other Epilepsies
- Chapter 8 Seizures Not Diagnosed as Epilepsy
- Chapter 9 Nonepileptic Spells
- Chapter 10 Status Epilepticus
- Chapter 11 EEG Instrumentation and Basics
- Chapter 12 Interpreting the Normal Electroencephalogram of an Adult
- Chapter 13 Ictal and Interictal Epileptiform Electroencephalogram Patterns
- Chapter 14 Neonatal and Pediatric Electroencephalogram
- Chapter 15 Scalp Video-EEG Monitoring
- Chapter 16 Intracranial EEG Monitoring
- Chapter 17 Neuroimaging in Epilepsy
- Chapter 18 The Role of Neuropsychology in Epilepsy Surgery
- Chapter 19 Principles of Antiseizure Drug Management
- Chapter 20 Gender Issues in Epilepsy
- Chapter 21 Antiseizure Drugs
- Chapter 22 Surgical Therapies for Epilepsy
- Chapter 23 Stimulation Therapies for Epilepsy
- Chapter 24 Practical and Psychosocial Considerations in Epilepsy Management
- Chapter 25 Comorbidities with Epilepsy
- Chapter 26 System-Based Issues in Epilepsy
- Index
- References
Chapter 19 - Principles of Antiseizure Drug Management
Published online by Cambridge University Press: 11 October 2019
- Understanding Epilepsy
- Understanding Epilepsy
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Chapter 1 Pathophysiology of Epilepsy
- Chapter 2 Physiologic Basis of Epileptic EEG Patterns
- Chapter 3 Pathology of the Epilepsies
- Chapter 4 Classifications of Seizures and Epilepsies
- Chapter 5 Electro-clinical Syndromes and Epilepsies in the Neonatal Period, Infancy, and Childhood
- Chapter 6 Familial Electro-clinical Syndromes and Epilepsies in Adolescence to Adulthood
- Chapter 7 Distinctive Constellations and Other Epilepsies
- Chapter 8 Seizures Not Diagnosed as Epilepsy
- Chapter 9 Nonepileptic Spells
- Chapter 10 Status Epilepticus
- Chapter 11 EEG Instrumentation and Basics
- Chapter 12 Interpreting the Normal Electroencephalogram of an Adult
- Chapter 13 Ictal and Interictal Epileptiform Electroencephalogram Patterns
- Chapter 14 Neonatal and Pediatric Electroencephalogram
- Chapter 15 Scalp Video-EEG Monitoring
- Chapter 16 Intracranial EEG Monitoring
- Chapter 17 Neuroimaging in Epilepsy
- Chapter 18 The Role of Neuropsychology in Epilepsy Surgery
- Chapter 19 Principles of Antiseizure Drug Management
- Chapter 20 Gender Issues in Epilepsy
- Chapter 21 Antiseizure Drugs
- Chapter 22 Surgical Therapies for Epilepsy
- Chapter 23 Stimulation Therapies for Epilepsy
- Chapter 24 Practical and Psychosocial Considerations in Epilepsy Management
- Chapter 25 Comorbidities with Epilepsy
- Chapter 26 System-Based Issues in Epilepsy
- Index
- References
Summary
Seizures are categorized as unprovoked or provoked, and the former may lead to the diagnosis of epilepsy. The term unprovoked seizure refers to a seizure of unknown etiology or that occurs in relation to a presenting brain lesion or progressive nervous system disorder. Provoked seizures are due to an acute condition such as toxic or metabolic disturbance, head trauma, or acute stroke. About 30% of patients with unprovoked seizures, which are nearly always generalized tonic–clonic convulsions, are seen by physicians after only a single attack. Studies have now established high-risk groups for recurrence after a single unprovoked seizure. The risk for epilepsy is greatly increased in the presence of an abnormal electroencephalogram (EEG), history of brain injury, and family history of epilepsy.1 Age of onset may impact the choice of antiseizure drug (ASD). Etiologies often vary with age of onset. Prognosis, consequences of etiology, and response to treatment may vary depending on age and comorbid conditions.
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- Information
- Understanding EpilepsyA Study Guide for the Boards, pp. 357 - 367Publisher: Cambridge University PressPrint publication year: 2019