Epilepsy in People with Intellectual Disability

R. Shankar, M. Walker
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引用次数: 1

Abstract

It is well recognized that both Intellectual Disability (ID) and epilepsy individually have higher rates of premature mortality. Thus, the two conditions in combination will be more likely to lead to premature mortality than either individually. People with ID and epilepsy have a higher likelihood of communication, psychiatric, behavioural, and drug sensitivity problems that makes their treatment difficult. This is not a homogenous group. At one end of the spectrum are patients with mild ID, 10–12% of who have epilepsy and treatment is mainly focused on areas like compliance and risky behaviours. At the other end are patients with severe ID, up to 50% of who have epilepsy and treatment is more focused on factors such as the co-morbidity, impact of medications, recognition of side effects, treatment resistance, and informed consent. This chapter looks to collate and provide an overview of epilepsy diagnosis and management and the current good practice on its applicability to people with ID.
智力残疾者的癫痫
众所周知,智力残疾和癫痫都有较高的过早死亡率。因此,这两种情况结合起来比单独出现更有可能导致过早死亡。患有认知障碍和癫痫的人更有可能出现沟通、精神、行为和药物敏感性问题,这使得他们的治疗变得困难。这不是一个同质的群体。在谱系的一端是轻度认知障碍患者,10-12%的患者患有癫痫,治疗主要集中在依从性和危险行为等方面。另一端是严重认知障碍患者,高达50%的癫痫患者,治疗更侧重于合并症、药物影响、副作用识别、治疗耐药性和知情同意等因素。本章旨在整理和提供癫痫诊断和管理的概述,以及目前对ID患者适用性的良好做法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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