Titre : Épilepsie partielle complexe

Épilepsie partielle complexe : Questions médicales fréquentes

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"hasPart": [ { "@type": "MedicalWebPage", "name": "Diagnostic", "headline": "Diagnostic sur Épilepsie partielle complexe", "description": "Comment diagnostique-t-on l'épilepsie partielle complexe ?\nQuels tests sont utilisés pour confirmer le diagnostic ?\nLes symptômes peuvent-ils varier d'un patient à l'autre ?\nQuel rôle joue l'historique médical dans le diagnostic ?\nPeut-on diagnostiquer l'épilepsie partielle complexe chez les enfants ?", "url": "https://questionsmedicales.fr/mesh/D017029?page=5#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Épilepsie partielle complexe", "description": "Quels sont les symptômes typiques des crises ?\nLes crises peuvent-elles affecter la mémoire ?\nComment se manifestent les comportements automatisés ?\nLes crises peuvent-elles être précédées d'aura ?\nLes symptômes peuvent-ils persister après la crise ?", "url": "https://questionsmedicales.fr/mesh/D017029?page=5#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Épilepsie partielle complexe", "description": "Peut-on prévenir les crises d'épilepsie partielle complexe ?\nQuels sont les déclencheurs courants des crises ?\nL'éducation des proches est-elle importante ?\nLes activités physiques sont-elles sûres ?\nComment gérer le stress pour prévenir les crises ?", "url": "https://questionsmedicales.fr/mesh/D017029?page=5#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Épilepsie partielle complexe", "description": "Quels médicaments sont couramment prescrits ?\nLa chirurgie est-elle une option de traitement ?\nQuelles sont les alternatives aux médicaments ?\nComment évaluer l'efficacité du traitement ?\nLes changements de mode de vie peuvent-ils aider ?", "url": "https://questionsmedicales.fr/mesh/D017029?page=5#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?page=5#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?page=5#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)

PADRES: a phase 2 clinical trial of neoadjuvant axitinib for complex partial nephrectomy.

To report the results of PADRES (Prior Axitinib as a Determinant of Outcome of Renal Surgery, NCT03438708), a study investigating neoadjuvant axitinib for tumours of high complexity with imperative in... We conducted a single-arm phase II clinical trial of localized (cT1b-cT3M0) clear-cell renal cell carcinoma (RCC) patients with imperative indications for nephron preservation, where PN is a high-risk... Twenty-seven patients were enrolled (median age 69 years). Prior to therapy, twenty patients (74.0%) had ≥ clinical T3a staged tumours. Axitinib resulted in reductions in tumour diameter (7.5 vs 6.2 c... Neoadjuvant axitnib resulted in reductions in tumour size and complexity, enabling safe and feasible PN and functional preservation in patients with complex renal masses and imperative indication....

Have epilepsy outcomes changed for children with tuberous sclerosis complex in Queensland, Australia?

Historically, epilepsy has been the most frequently presenting feature of tuberous sclerosis complex (TSC). Advances in TSC health care have occurred over the past decade; thus, we studied whether TSC... A retrospective chart review was undertaken for all children with TSC in Queensland, Australia. Epilepsy outcome and TSC diagnosis data were extracted, and data were compared between children born bef... In this retrospective cohort, TSC diagnosis in children born in or after 2012 is now predominantly antenatal (51%, p < .05). Most patients with epilepsy are now known to have TSC before they develop e... This study provides updated information that informs the counseling of parents of newly diagnosed pediatric TSC patients....

Responsive Neurostimulation for the Treatment of Children With Drug-Resistant Epilepsy in Tuberous Sclerosis Complex.

To review seizure outcomes in children with tuberous sclerosis complex (TSC) and drug-resistant epilepsy (DRE) treated with the responsive neurostimulation (RNS) System.... We retrospectively reviewed children (<21 years old) with TSC implanted with the RNS System at Texas Children's Hospital between July 2016 and May 2022.... Five patients meeting the search criteria were identified (all female). The median age of the RNS implantation was 13 years (range: 5 to 20 years). The median epilepsy duration before the RNS implanta... We observed a favorable improvement in seizure frequency in pediatric patients with DRE secondary to TSC treated with the RNS System. The RNS System may be a safe and effective treatment for DRE in ch...

Use of screening tools to assess comorbidities and adverse events in patients with epilepsy. A European Reference Network for Rare and Complex Epilepsies (EpiCARE) survey.

As comorbidities can affect treatment decisions, quality of life, and prognosis in epilepsy, it is important that they are detected and addressed as soon as possible. Screening tools can help by rapid... To map the use and perceived benefit of different screening instruments for quality of life, psychiatric comorbidity, and cognition, along with side effects from anti-seizure medication in Europe, we ... Among the 40 hospitals in the EpiCARE network, we received responses from 25 (63%), with 28 individual respondents. Most respondents reported using screening for quality of life (86%) and psychiatric ... In the absence of a broad consensus regarding use of screening tools, practices vary considerably among epilepsy centres. Greater emphasis should be directed towards harmonizing use of screening tools...

Perioperative, functional, and oncologic outcomes of laparoscopic partial nephrectomy versus open partial nephrectomy for complex renal tumors: a systematic review and meta-analysis.

The primary aim of this present study is to undertake a comprehensive comparative analysis of the perioperative, functional, and oncologic outcomes associated with laparoscopic partial nephrectomy (LP... We systematically carried out an extensive search across four electronic databases, namely PubMed, the Cochrane Library, Embase, and Web of Science. Our objective was to identify pertinent studies pub... This study encompassed a total of seven comparative trials, involving 934 patients. LPN exhibited a noteworthy reduction in the length of hospital stay (weighted mean difference [WMD] -2.06 days, 95% ... This study reveals that LPN presents several advantages over OPN. These benefits encompass a shortened hospital stay, diminished blood loss, and a reduced incidence of complications. Importantly, LPN ... https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=457716, identifier CRD42023453816....

Drug-Resistant Epilepsy in Tuberous Sclerosis Complex Is Associated With TSC2 Genotype: More Findings From the Preventing Epilepsy Using Vigatrin (PREVeNT) Trial.

Children with tuberous sclerosis complex (TSC) are at high risk for drug-resistant epilepsy (DRE). The ability to stratify those at highest risk for DRE is important for counseling and prompt, aggress... The study group (N = 70) comprised participants with TSC enrolled at age less than or equal to six months with detailed epilepsy and other phenotypic and genotypic data, prospectively collected as par... Presence of a TSC2 pathogenic variant was significantly associated with DRE, compared with TSC1 and participants with no pathogenic mutation identified. In fact, all participants with DRE had a TSC2 p... Using a comprehensively phenotyped cohort followed from infancy, this study is the first to delineate genotype-phenotype correlations for epilepsy severity and onset in children with TSC. Patients wit...

The state of pediatric tuberous sclerosis complex epilepsy care: Results from a national survey.

Epilepsy associated with tuberous sclerosis complex (TSC) can be challenging to treat and is associated with significant disease burden. Our objective was to better understand the state of epilepsy ca... A survey was developed after a literature review and discussion amongst two pediatric epileptologists and one nurse practitioner with expertise in TSC about the state of epilepsy care of TSC patients ... Fifty-seven responses were received. Access to a dedicated TSC clinic was reported by 25% (n = 14). Sixty percent (n = 34) reported performing serial EEG monitoring in infants with TSC and 57% (n = 33... Our findings demonstrate the variability in neurological care of pediatric patients with TSC as it pertains to epilepsy management. There is a need for the establishment of epilepsy practice guideline...