engleski

Electrical epilepsy status during sleep (ESES): A case report and family experience

Epilepsy is one of the comorbid conditions of autism spectrum disorders and is characterized as brain disorder by an enduring predisposition to generate unprovoked seizures that are repeated during twenty four hours. Research indicate that it affects 5-40% population of persons with autism spectrum disorders (ASD). Clinicians look for atypical electroencephalogram (aeEEG) readings to inform the diagnosis. Practice shows that EEG is mostly shot during sleep for persons with (ASD). This is the best way to recognize continuous spike- and-wave patterns during slow wave sleep (CSWS) and is called electrical status epilepticus during sleep (ESES). Some researchers indicate it affects 0, 2-0, 5% of childhood epilepsy (which prevalence is 0, 5-1% of all epilepsy). Different types of seizures occur when one has ESES (absence, partial, myoclonic, tonic-clonic, ...) and changes neuropsychological functioning of persons affected. This very rare condition, affects not only person with the status but it's family as well. Therefor, the goals of this research were to examine the change of symptomatology of ASD and how does it affect family quality of life. This paper reports on a case of 13 year old girl with ASD with ESES that was conducted in January 2019. Data was collected using triangulation. This means that more than one method to collect data was used. Regarding the goal to examine the change of symptomatology, monitoring of various experts was collected compared the time before and after ESES in order to understand neuropsychological changes and “Assessment of basic language and learning skills” test was used for the evaluation of abilities after ESES was developed. Regarding the examination of its affect on family life, mother was interviewed using semi-structured interview. Epilepsy was developed in 10 years of age but ESES was first diagnosed after three years. Data shows changes regarding behaviour, communication, intellectual, motor and language capacities. Because of very frequent seizures during day and night, many family activities are moved to home environment. Family feel support provided by medical clinicians but regarding diagnosis and treatment, results indicate delay support. Results confirm the difficulties faced by children and their families with rare conditions. This study emphasize the importance of medical and therapeutic work of children with ESES.

Epilepsy, Family, Sleep issues

nije evidentirano