000 02119cam a2200265 4500500
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041 _afre
042 _adc
100 1 0 _aBertinat, Andrés
_eauthor
700 1 0 _a Kerr, Mike
_eauthor
700 1 0 _a Cramer, Joyce A.
_eauthor
700 1 0 _a Braga, Patricia
_eauthor
245 0 0 _aLiving safely with epilepsy: a key learning review
260 _c2020.
500 _a27
520 _aThis review focusses on counselling to reduce the risks of seizures in epilepsy patients. Risk reduction, whilst maximising the independence of persons with epilepsy, is a core element of epilepsy practice. The importance of the issue is reflected by the inclusion of risk assessment and reduction in the recent International League Against Epilepsy Curriculum for epileptology. This article addresses the key elements of epilepsy risk and provides practical guidance for counselling and risk reduction. A review of key publications was performed focusing on: (1) the risk of injury associated with seizures; (2) safety issues related to seizures and lifestyle; (3) SUDEP risk and avoidance; and (4) assessing individual risks. Risk is common in epilepsy and is multifactorial. Clinicians should be aware of the risk factors associated with different epilepsy features, such as seizure type, as well as those related to lifestyle and common indoor and outdoor activities. In addition, transcultural differences should be considered in risk assessment and counselling, e.g. regarding SUDEP or even driving, for which regulations vary across nations. Assessment of individual risk is evolving through a better understanding of risk factors and methodologies which can improve communication and empower patients to help identify and manage their individual risks.
690 _ainjury
690 _amanagement
690 _arisk
690 _aseizure
690 _asafety
690 _aepilepsy
786 0 _nEpileptic Disorders | Vol 22 | 4 | 2020-04-01 | p. 364-380 | 1294-9361
856 4 1 _uhttps://shs.cairn.info/revue-epileptic-disorders-2020-4-page-364?lang=en&redirect-ssocas=7080
999 _c611373
_d611373