Naslov
Quality of life of symptomatic epilepsy - a case report

Autori
Šepić-Grahovac, Dubravka ; Willheim, Ksenija ; Jurjević, Ante ; Vitezić, Dinko

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Abstracts. Neurologia Croatica Volume 51 Suppl.2 / - Zagreb : Hrvatsko neurološko društvo, 2002

Skup
5th Croatian Symposium on Epilepsy

Mjesto i datum
Osijek, Hrvatska, 12.06.2002. - 15.06.2002

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
Epilepsy; Quality of life

Sažetak
Epilepsy is a highly complex condition where efficacy needs to be very carefully balanced against the needs for therapy that the doctor and the patient can trust to provide long-term improvement in the quality of life. There are a number of factors that can affect cognitive function in subjects with epilepsy, such as seizure etiology, type, duration and severity. While assessment of antiepileptic drug (AED) therapy generally focuses on seizures control and adverse events, the importance of the quality of life (QOL) in terms of both the effects of the underlying condition and impact of side effects related to the AED should not be overlooked. In recent years, ever more clinical studies have shown the great importance of patient’ s cognitive ability and day-to-day existence. We present a 23-year-old female patient with secondary generalized epileptic seizures, right hemiparesis after surgical treatment of brain tumour, and mild cognitive impairment. She started with epileptic seizures when she was 12 ; two years later she was operated on for brain tumour. At age of 17, she became pregnant. In the third month of pregnancy, epilepsy worsened and MRI of the brain showed a tumour relapsing in the left hemisphere. Pregnancy was completed by caesarean section and a normal child was born in spite of AED in high doses during pregnancy. Neurosurgical intervention was undertaken and pathological analyses proved astrocytoma. During the next two years, epileptic seizures were under control and right motor deficit diminished. After that period, epileptic seizures were more frequent and cognitive problems developed as a secondary symptom. She has learned to deal with her multiples neurological symptoms for the rest oh her life. Our case proved once again that complex relationships between daily life function, refractory epilepsy and underlying cognitive impairment may be more debilitating than the seizures themselves and have many psychosocial consequences.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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