Document Detail


Nonpharmacological treatment options for epilepsy.
MedLine Citation:
PMID:  16114176     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Approximately one third of children with epilepsy have persistent seizures despite trials of multiple antiepileptic medications. For some of these patients, epilepsy surgery may provide freedom from seizures. However, in many cases, epilepsy surgery is not a viable treatment option. Nonpharmacological approaches are a useful adjunct to help manage seizures in these children. This review examines the role of vagus nerve stimulation, the ketogenic diet, and various forms of EEG biofeedback therapy in children with intractable epilepsy. Although the mechanism of action is not known precisely for any of these adjunctive therapies, they add an important and evolving dimension to the management of difficult to control epilepsy in children. In addition, pyridoxine-dependent seizures are discussed as an example of an etiology of refractory seizures that responds well to replacement therapy.
Authors:
Raj D Sheth; Carl E Stafstrom; David Hsu
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in pediatric neurology     Volume:  12     ISSN:  1071-9091     ISO Abbreviation:  Semin Pediatr Neurol     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-08-23     Completed Date:  2005-10-19     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  9441351     Medline TA:  Semin Pediatr Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  106-13     Citation Subset:  IM    
Affiliation:
Department of Neurology, University of Wisconsin, Madison, Madison, WI 53792-5132, USA. sheth@neurology.wisc.edu
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MeSH Terms
Descriptor/Qualifier:
Allylamine / administration & dosage,  analogs & derivatives
Biofeedback, Psychology / methods*
Diet Therapy / methods*
Drug Combinations
Electric Stimulation / methods*
Electroencephalography / methods
Epilepsy / classification,  therapy*
Humans
Meperidine / administration & dosage,  analogs & derivatives
Neurosurgery / methods*
Pyridoxine / therapeutic use
Vagus Nerve / physiopathology,  radiation effects
Chemical
Reg. No./Substance:
0/Drug Combinations; 107-11-9/Allylamine; 57-42-1/Meperidine; 65-23-6/Pyridoxine; 81605-86-9/Ketogin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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