Survey of Reflex Seizure Precipitants in Epilepsy Patients

Objective & Hypothesis:Objectives: Reflex seizures are proven epileptic seizures that accompany focal or generalized epilepsy syndromes and are precipitated by sensory/cognitive stimuli or motor activity.

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Key Findings & Data:Methods: A survey was prepared that consisted of 12 questions and a total of 299 patients followed by our epilepsy clinic provided responses.

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Conclusion & Impact:Thorough questioning about reflex seizure precipitants should take place during evaluation of epilepsy patients.

🔬Design:Survey & Empirical Study

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Objectives: Reflex seizures are proven epileptic seizures that accompany focal or generalized epilepsy syndromes and are precipitated by sensory/cognitive stimuli or motor activity. As there isn’t much knowledge about reflex seizures, in daily practice at most epilepsy clinics, inquiries about reflex seizure precipitants are often not made. The aim of the present study was to determine number and type of reflex seizure precipitants identified by patients with epilepsy. Methods: A survey was prepared that consisted of 12 questions and a total of 299 patients followed by our epilepsy clinic provided responses. Results: When queried in detailed, 73.9% of 299 patients, reported at least one reflex precipitant. The most frequently reported precipitant was stress, respectively. Conclusion: Knowledge of reflex seizure precipitants plays an important role in correct diagnosis of epilepsy, as well as management and control of seizures. Thorough questioning about reflex seizure precipitants should take place during evaluation of epilepsy patients.

Özet

Amaç: Refleks nöbetler özgül bir duysal veya bilişsel uyaranla ortaya çıkan veya hastanın aktivitesiyle tetiklenen, tutarlı ve objektif biçimde kanıtlanmış, fokal veya jeneralize epilepsi sendromlarına eşlik edebilen nöbetlerdir. Refleks nöbetler hakkında fazla bilgimiz olmadığı gibi, günlük pratik uygulamada, epilepsi polikliniklerinde, refleks uyaranlar sıklıkla sorgulanmamaktadır. Çalışmamız ile bir üniversite hastanesi epilepsi polikliniğinde refleks nöbet uyaranlarının sıklığının belirlenmesini amaçladık. Gereç ve Yöntem: Çalışmamıza İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Nöroloji Anabilim Dalı Epilepsi Polikliniği’nce “epilepsi” tanısıyla takipli 299 epilepsi hastası dahil edildi. En sık karşılaşılan refleks nöbet tipleri göz önünde bulundurularak hazırlanan ve 12 sorudan oluşan bir anket formu hastalar tarafından dolduruldu. Bulgular: Pratik hayatta birçok klinisyen tarafından sorgulanmayan, çoğu hasta tarafından sorgulanmadığı sürece belirtilmeyen refleks nöbet uyaranları detaylı bir şekilde sorgulandığında, en sık ‘stres’ olmak üzere, hastaların %73.9’u tarafından bildirilmektedir. Sonuç: Bu uyaranların bilinmesi epilepsi hastalarının yönetiminde, tanının doğru konmasında ve nöbetlerin kontrol altına alınmasında önemli rol oynadığından hastaların değerlendirilme sürecinde bu uyaranlar unutulmamalı ve zaman ayrılıp detaylı bir şekilde sorgulanmalıdır.

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Cite This Article

BULUŞ, E., ŞENEL, G. B., YENİ, N. (2016). Survey of Reflex Seizure Precipitants in Epilepsy Patients. Epilepsi, Cilt: 22 - Sayı: 3, 108–113. https://ajindex.com/articles/159949

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