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June 20, 2013
 

Is there any connection between Peripheral neuropathy and Absence seizures?

Dear Ask The Doctor: In your opinion is there any connecftion between Peripheral Neuropathy and absence seizures

Dear Joan:The absence seizures occur in children and there is no relationship with peripheral neuropathy, then, and first of all; it has to be determined that the episode was really an absence seizure. Compared with an epileptic seizure, a non-epileptic event is a clinical episode that can resemble, and be mistaken for, an epileptic seizure. Examples of non-epileptic events that seem seizures include syncope, migraine, sleep disorder, movement disorder, vertigo and psychogenic non epileptic attacks (PNEAs). Syncope is caused by decreased cerebral blood flow that results mostly from a decrease in the cardiac output, which produces loss of consciousness; in this case EEG is completely normal and also ECG could be normal too.If a family history of seizures is noted, the clinical epilepsy syndrome of the affected family member should be determined, also history of post seizure confusion, incontinence, and occurrence out of sleep. Many patients who have single seizures do not require anticonvulsant therapy. The physician and patient or family should decide jointly whether to give anticonvulsant therapy after a single seizure. This decision is based on the risk of seizure recurrence, the effectiveness of anticonvulsant treatment, and the adverse medical and socioeconomic effects of anticonvulsant treatment. I would like to share with you some statistical facts: A first seizure provoked by an acute brain injury is unlikely to recur (3-10%), however a first unprovoked seizure has a recurrence risk of 30-50% over the next 2 years. Even among symptomatic seizures, the recurrence rate differs according to the cause. Seizures associated with reversible metabolic or toxic disturbances are associated with a minor risk of subsequent recurrence, as long as the underlying cause is corrected.

Last Updated ( Monday, 04 July 2011 )
 
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