Titre : Épilepsie partielle complexe

Épilepsie partielle complexe : Questions médicales fréquentes

Termes MeSH sélectionnés :

Anesthetics, Local
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"https://questionsmedicales.fr/mesh/D017029?mesh_terms=Anesthetics,+Local&page=3#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Épilepsie partielle complexe", "description": "Quelles sont les complications possibles de l'épilepsie ?\nL'épilepsie peut-elle affecter la vie sociale ?\nY a-t-il un risque accru de dépression ?\nLes crises peuvent-elles entraîner des blessures graves ?\nComment les complications peuvent-elles être gérées ?", "url": "https://questionsmedicales.fr/mesh/D017029?mesh_terms=Anesthetics,+Local&page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Épilepsie partielle complexe", "description": "Quels sont les facteurs de risque de l'épilepsie partielle complexe ?\nL'âge influence-t-il le risque d'épilepsie ?\nLes maladies neurologiques augmentent-elles le risque ?\nLes facteurs environnementaux jouent-ils un rôle ?\nLe stress peut-il être un facteur de risque ?", "url": "https://questionsmedicales.fr/mesh/D017029?mesh_terms=Anesthetics,+Local&page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostique-t-on l'épilepsie partielle complexe ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic repose sur l'historique médical, l'EEG et l'imagerie cérébrale." } }, { "@type": "Question", "name": "Quels tests sont utilisés pour confirmer le diagnostic ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "L'EEG et l'IRM sont essentiels pour visualiser l'activité cérébrale et les anomalies." } }, { "@type": "Question", "name": "Les symptômes peuvent-ils varier d'un patient à l'autre ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les symptômes peuvent différer selon la localisation de l'activité épileptique." } }, { "@type": "Question", "name": "Quel rôle joue l'historique médical dans le diagnostic ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "L'historique médical aide à identifier les antécédents de crises et les facteurs déclenchants." } }, { "@type": "Question", "name": "Peut-on diagnostiquer l'épilepsie partielle complexe chez les enfants ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elle peut se manifester chez les enfants, nécessitant une évaluation spécialisée." } }, { "@type": "Question", "name": "Quels sont les symptômes typiques des crises ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent des mouvements involontaires, des hallucinations et des troubles de la conscience." } }, { "@type": "Question", "name": "Les crises peuvent-elles affecter la mémoire ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les crises peuvent entraîner des pertes de mémoire temporaires ou des confusions." } }, { "@type": "Question", "name": "Comment se manifestent les comportements automatisés ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Les comportements automatisés incluent des gestes répétitifs sans conscience de l'environnement." } }, { "@type": "Question", "name": "Les crises peuvent-elles être précédées d'aura ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certaines personnes ressentent une aura, un signe avant-coureur de la crise." } }, { "@type": "Question", "name": "Les symptômes peuvent-ils persister après la crise ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des symptômes comme la fatigue ou la confusion peuvent persister après la crise." } }, { "@type": "Question", "name": "Peut-on prévenir les crises d'épilepsie partielle complexe ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Bien qu'il soit difficile de prévenir, éviter les déclencheurs connus peut aider." } }, { "@type": "Question", "name": "Quels sont les déclencheurs courants des crises ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Le stress, le manque de sommeil et l'alcool sont des déclencheurs fréquents." } }, { "@type": "Question", "name": "L'éducation des proches est-elle importante ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, informer les proches sur les crises et les premiers secours est crucial." } }, { "@type": "Question", "name": "Les activités physiques sont-elles sûres ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Certaines activités peuvent être sûres, mais il est important de consulter un médecin." } }, { "@type": "Question", "name": "Comment gérer le stress pour prévenir les crises ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Des techniques de relaxation comme la méditation peuvent aider à gérer le stress." } }, { "@type": "Question", "name": "Quels médicaments sont couramment prescrits ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les anticonvulsivants comme la carbamazépine et la lamotrigine sont souvent utilisés." } }, { "@type": "Question", "name": "La chirurgie est-elle une option de traitement ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la chirurgie peut être envisagée si les médicaments ne contrôlent pas les crises." } }, { "@type": "Question", "name": "Quelles sont les alternatives aux médicaments ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Les thérapies comportementales et la stimulation cérébrale peuvent être des options." } }, { "@type": "Question", "name": "Comment évaluer l'efficacité du traitement ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "L'efficacité est évaluée par la fréquence des crises et les effets secondaires des médicaments." } }, { "@type": "Question", "name": "Les changements de mode de vie peuvent-ils aider ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un mode de vie sain, incluant sommeil et gestion du stress, peut aider." } }, { "@type": "Question", "name": "Quelles sont les complications possibles de l'épilepsie ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent les blessures lors des crises et des problèmes psychologiques." } }, { "@type": "Question", "name": "L'épilepsie peut-elle affecter la vie sociale ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elle peut entraîner des difficultés sociales et des stigmates associés." } }, { "@type": "Question", "name": "Y a-t-il un risque accru de dépression ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les personnes épileptiques présentent un risque plus élevé de dépression et d'anxiété." } }, { "@type": "Question", "name": "Les crises peuvent-elles entraîner des blessures graves ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les chutes ou les accidents pendant une crise peuvent causer des blessures graves." } }, { "@type": "Question", "name": "Comment les complications peuvent-elles être gérées ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Une prise en charge multidisciplinaire est essentielle pour gérer les complications." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque de l'épilepsie partielle complexe ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les antécédents familiaux, les traumatismes crâniens et les infections cérébrales sont des facteurs de risque." } }, { "@type": "Question", "name": "L'âge influence-t-il le risque d'épilepsie ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'épilepsie peut survenir à tout âge, mais elle est plus fréquente chez les jeunes enfants et les personnes âgées." } }, { "@type": "Question", "name": "Les maladies neurologiques augmentent-elles le risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des maladies comme la sclérose en plaques peuvent augmenter le risque d'épilepsie." } }, { "@type": "Question", "name": "Les facteurs environnementaux jouent-ils un rôle ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des facteurs comme l'exposition à des toxines peuvent contribuer au risque d'épilepsie." } }, { "@type": "Question", "name": "Le stress peut-il être un facteur de risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le stress chronique peut déclencher des crises chez certaines personnes épileptiques." } } ] } ] }

Sources (10000 au total)

Interventions to improve tolerability of local anesthetic intradetrusor Botulinum toxin injections: A systematic review.

Intradetrusor BotulinumtoxinA (BTA) injections are recommended for patients with overactive bladder (OAB) refractory to lifestyle changes and medical intervention. It is preferable to perform injectio... A systematic review was performed using Ovid of Embase + Embase classic and MEDLINE® ALL in November 2021. Articles were included if they reported objectively measured pain scores during LA intradetru... Ten studies were included in this review with a total of 429 participants. The review identified alkalinized lidocaine, electromotive drug administration (EMDA), opiate suppositories, lidocaine bladde... EMDA of intravesical alkalinized lidocaine, intravesical, alkalinized lidocaine without EMDA, and a reduction in the number of injection site were all associated with improvements in patient tolerabil...

Effect of Peritumoral Infiltration of Local Anesthetic Before Surgery on Survival in Early Breast Cancer.

Preventing metastases by using perioperative interventions has not been adequately explored. Local anesthesia blocks voltage-gated sodium channels and thereby prevents activation of prometastatic path... Women with early breast cancer planned for upfront surgery without prior neoadjuvant treatment were randomly assigned to receive peritumoral injection of 0.5% lidocaine, 7-10 minutes before surgery (l... Excluding eligibility violations, 1,583 of 1,600 randomly assigned patients were included in this analysis (LA, 796; no LA, 804). At a median follow-up of 68 months, there were 255 DFS events (LA, 109... Peritumoral injection of lidocaine before breast cancer surgery significantly increases DFS and OS. Altering events at the time of surgery can prevent metastases in early breast cancer (CTRI/2014/11/0...

A comparative evaluation of the efficiency of warm local anesthetic solution delivered on precooled injection sites with the conventional local anesthetic technique in 7-9-year-old children: A randomized split-mouth cross-over trial.

Both precooling the site and injecting a warm anesthetic solution have proven to be efficient in reducing pain individually. However, there is insufficient data on evaluating the efficiency of precool... The aim of this study was to evaluate and compare the efficacy, pain perception, hemodynamic changes, and adverse effects of a warm local anesthetic solution injected on precooled injection sites usin... A split-mouth, double-blinded, randomized clinical trial was conducted on 70 children who received 2% lignocaine with either technique A or B during the first or second appointment of the treatment pr... Pain during injection and treatment after administration of the warm local anesthesia (LA) technique was less as compared to the conventional block technique. Anesthetic success was observed with a fa... Injecting warm LA solution on precooled injection sites causes less discomfort and anxiety in children, which makes it more suitable for the child as well as the pediatric dentist....

The preventive efficacy of lipid emulsion on the occurrence of local anesthetic systemic toxicity in patients receiving local infiltration analgesia for total joint arthroplasty.

Motor-sparing local infiltration analgesia (LIA) enhances recovery after total hip arthroplasty (THA) and total knee arthroplasty (TKA). However, LIA can induce local anesthetic systemic toxicity (LAS... This retrospective study enrolled 1,621 adult patients who received LIA with bupivacaine (2-3 mg/kg, maximum 300 mg) for unilateral primary THA or TKA under general anesthesia between January 2020 and... The incidence of severe LAST events requiring rescue lipid emulsion slightly decreased after lipid pretreatment (from 2.54 to 2.28 per 1000). Lipid pretreatment significantly reduced the incidence of ... The efficacy of lipid pretreatment (SMOFlipid...

Effect of Intraperitoneal Local Anesthetics in Laparoscopic Bariatric Surgery: A Meta-Analysis of Randomized Controlled Trials.

The effectiveness of intraperitoneal local anesthesia (IPLA) has been confirmed in other fields, but its use in bariatric surgery remains debatable. This study aimed to evaluate the analgesic effect o... PubMed, Web of Science, Embase, and the Cochrane Library were searched from inception to February 2022. All randomized controlled trials (RCTs) assessing IPLA's analgesic effect in bariatric surgery w... Ten RCTs with 979 patients were included. Postoperative pain scores were significantly lower in IPLA group. Subgroup analysis demonstrated that IPLA was associated with lower pain scores in 6 h and at... IPLA can reduce postoperative pain safely and effectively, particularly during the early postoperative stage....

Spread of local anesthetics after erector spinae plane block: an MRI study in healthy volunteers.

Erector spinae plane block (ESPB) is a truncal fascial block with a disputed mechanism and anatomical site of effect. This study aimed to perform a one-sided ESPB and use MRI to investigate the spread... Ten volunteers received a right-sided ESPB at the level of the seventh thoracic vertebra (Th7), consisting of 30 mL 2.5 mg/mL ropivacaine with 0.3 mL gadolinium. The primary outcome was the evaluation... All volunteers had a spread of LA on MRI in the erector spinae muscles and to the intercostal space. 9/10 had spread to the paravertebral space and 8/10 had spread to the neural foramina. 4/10 volunte... We found that LA consistently spreads to the intercostal space, the paravertebral space, and the neural foramina after an ESPB. Epidural spread was evident in four volunteers. Sensory testing 30-50 mi... NCT05012332....