By M. P. Kerr MBChB, MRCPsych, MSc, MPhil, F.IASSID (auth.), Vee P. Prasher MBChB, MRCPsych, MMedSc, MD, PhD, F.IASSID, Mike P. Kerr MBChB, MRCPsych, MSc, MPhil, F.IASSID (eds.)
Epilepsy and highbrow Disabilities brings jointly findings from examine and medical perform, with complete insurance of the real elements of epilepsy in people with highbrow disabilities. it's important for pros focused on the care of folks with all highbrow disabilities to have a huge knowing of the fundamental variety of matters, and for this reason this publication offers a really multi-disciplinary viewpoint, whole with many figures and illustrations to underline the most important points.
Undoubtedly, examine and scientific perform is far extra complex within the basic inhabitants than in folks with highbrow disabilities, and so it is crucial that pros and teachers within the box of highbrow disabilities are made totally conscious of ongoing advancements within the common inhabitants, as a way to much more likely than no longer develop into suitable to the intellectually disabled inhabitants. via adventure, this publication additionally recognizes that the impression at the individual themselves and on their carers consistently has to be taken under consideration, with therapy courses validated with a multi-faceted staff procedure in mind.
Avoiding the jargon of many titles during this zone whereas conserving the hands-on method of medical perform, this booklet meshes the sensible and medical worlds, with all chapters written via top specialists within the field.
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Additional resources for Epilepsy and Intellectual Disabilities
Usually they are easily recognizable, though they sometimes may be difficult to distinguish from temporal lobe seizures. Dissociative Attacks (“Pseudoseizures”) These are psychologically mediated episodes of altered awareness and/or behavior which may mimic any type of epilepsy. Most (non-learning-disabled) adults with dissociative attacks are female (75%),8 usually presenting in their late teens or early 20s. There is often is a history of multiple unexplained illnesses and multiple investigations, and there may be a history of physical or sexual abuse.
Brown Some Epilepsy Syndromes Related to ID As described in the previous section, the types of epilepsy that are especially associated with ID syndromes tend to be generalized, with myoclonus, atypical absences, and drop attacks as well as tonic-clonic and some types of complex partial seizures. Of course the same epilepsy syndromes that occur in the general population are also seen in the ID population, including mesial temporal lobe epilepsy and idiopathic generalized epilepsies such as childhood absence epilepsy and juvenile myoclonic epilepsy, but there is no evidence that these are especially overrepresented in the ID population.
Women Women with epilepsy justify special consideration. The choice of antiepileptic medication in women may be influenced by potential cosmetic side effects, by contraceptive issues, by hormonal influence on seizures, but most of all by the potential teratogenicity of certain antiepileptic medications. • Cosmetic effects include hirustism and acne (phenytoin) and weight gain (sodium valproate). • Contraceptive pill. Enzyme-inducing antiepileptic medications may allow hormonal contraceptive failure from enhanced metabolism of estrogen metabolites.