{"title":"The History of Neuroscience 1: Ancient Neuroscience","authors":"S. Lee","doi":"10.35615/epilia.2019.00010","DOIUrl":"https://doi.org/10.35615/epilia.2019.00010","url":null,"abstract":"Exploring the development of theories about the functions and structures of our nervous system yields insights into the mysteries of the brain, neurology, and neuropsychology. This article briefly summarizes the ancient history of neuroscience. Trepanation, performed since the Neolithic period, may have been intended to create an escape route for demons inflicting problems on humans , or as a surgical procedure to drain excess intracranial fluid in patients affected by trauma and epilepsy. The Edwin Smith Surgical Papyrus , found in Egypt, is believed to be related to Imhotep, the most preemi-nent healer in Egypt. It presents 48 cases of head injuries and describes the symptoms and signs of the patients in relation with the foci of brain injuries. Hippocrates, known as the “father of medicine,” represented the golden age of Greece, which witnessed an outpouring of many new thoughts and ideas. As focus shifted from God to humans, many philosophical approaches incorporated medicine. Hip-pocrates emphasized that diseases develop by natural causes, not God’s will. The Hippocratic Corpus encompasses 70 medical texts presumed to originate with Hippocrates and his followers. It also presents 42 real clinical cases. Systematic human dissections were started by Herophilus, the “father of anatomy,” who dissected hundreds of cadavers and live criminals. Herophilus, working with Erasistra-tus, also described the cerebrum, cerebellum, and ventricles of the brain. They distinguished between motor and sensory nerves. However, many still believed that human intelligence lay in the heart, and the controversy about the location of the human mind continued for many centuries.","PeriodicalId":132321,"journal":{"name":"Epilia: Epilepsy and Community","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129225015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Presidential Message–Epilia: Epilepsy and Community","authors":"Y. Cho","doi":"10.35615/epilia.2019.00001","DOIUrl":"https://doi.org/10.35615/epilia.2019.00001","url":null,"abstract":"뇌전증은 국내에서 약 20만 명 이상의 환자들이 앓고 있는 드물 지 않은 질환입니다. 그럼에도 불구하고 우리나라에서는 뇌전증 에 대한 한글 전문 학술지가 전무하며 올바른 정보를 전달하기 어려운 실정입니다. 또한 뇌전증 환우들은 질병과 싸우면서 겪 는 어려움뿐만 아니라 잘못된 인식으로 인한 사회적 편견과 차 등을 받는 등 환경적인 어려움도 함께 겪고 있습니다. 따라서 의 료인이나 일반인들을 위한 뇌전증에 대한 올바른 한글 전문 학 술지의 필요성이 절실히 요구되는 바입니다. 이에 대한임상뇌전 증연구학회-에필리아에서는 이러한 취지에 부흥하고자 한글 뇌 전증 전문 학술지를 발간하게 되었습니다. 에필리아는 2003년 10월에 우리나라 최초의 뇌전증 포털 사이 트로 개설되었습니다. 창립 회원으로는 이상건, 이일근, 조용원, 정기영(이상 신경과), 황희(소아청소년과) 선생님이 중심이 되어, 온라인 상에서 난립하고 있는 뇌전증에 대한 무분별한 정보를 바 로 잡고 뇌전증에 대한 올바른 정보를 제공하고자 “에필리아 (Epilia)” 뇌전증 포털 사이트(http://www.epilia.net)를 개설하 였습니다. 이후 회원들이 증가하면서 공식적인 의학 학술단체인 “대한임상뇌전증연구학회”로 자리매김 하였습니다. 현재 에필리아의 회원은 만 이천 명을 넘는 명실공히 우리나 라 최대의 뇌전증 포털 사이트입니다. 지금까지 매년 13회에 걸 쳐 에필리아 시민강좌를 개최하였으며, 최근에는 2019년 제8회 뇌전증 심포지엄을 개최하였습니다. 우리 학회가 그동안 쌓아온 업적으로 “사이버병동 에필리아 24시”, “에필리아가 들려주는 뇌전증 이야기 및 증보판”, “뇌전증 환우와 가족을 위한 안내서”, 뇌전증 수첩, 뇌전증-에필리아 잡지 등 다수의 서적을 출간 했습 니다. pISSN 2672-0442 eISSN 2672-0450 Epilia: Epilepsy Commun 2019;1(1):1 https://doi.org/10.35615/epilia.2019.00001 Presidential message","PeriodicalId":132321,"journal":{"name":"Epilia: Epilepsy and Community","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127268364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Etiology and Outcome of Seizures in the Emergency Department","authors":"J. Jeon, Hyoeun Bae, Y. Cho, Keuntae Kim","doi":"10.35615/epilia.2019.00024","DOIUrl":"https://doi.org/10.35615/epilia.2019.00024","url":null,"abstract":"","PeriodicalId":132321,"journal":{"name":"Epilia: Epilepsy and Community","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124331916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Epilepsy in Greco-Roman Mythology","authors":"Sooyeoun You","doi":"10.35615/epilia.2019.00031","DOIUrl":"https://doi.org/10.35615/epilia.2019.00031","url":null,"abstract":"","PeriodicalId":132321,"journal":{"name":"Epilia: Epilepsy and Community","volume":" 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120937269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Epilepsy Patients and Insurance","authors":"S. Hwang","doi":"10.35615/epilia.2019.00052","DOIUrl":"https://doi.org/10.35615/epilia.2019.00052","url":null,"abstract":"질환에 대한 인식을 개선하기 위해 ‘간질’을 ‘뇌전증’으로 용어를 변경하였음에도 불구하고 아직 까지 ‘간질’이라는 용어가 계속 사용되고 있다. 또한 다수의 뇌전증 환자들이 일반인들과 동일한 평범한 생활을 영위하고 있지만, 여전히 사회적으로 차별을 받는 등 뇌전증에 대한 인식 개선이 필요한 상황이다이는 보험에서도 예외가 아니다. 여전히 ‘뇌전증’이라고 하면 발작으로 인한 상 해 위험이 커서 인수하면 안 되는 병이라고 낙인을 찍고 보험 가입을 거절하는 보험사가 많다. 이에 보험의 사각지대에 놓인 뇌전증 환자를 위해 한국뇌전증협회와 대한뇌전증학회(사회위원 회)가 보험사에 뇌전증 환자의 전용 보험의 필요성을 적극 알려왔으며, 그 결과 뇌전증 환자를 위한 보험 상품이 출시된 지 1년이 넘었다. 본 글에서는 뇌전증 환자의 보험가입 실태, 그리고 한국뇌전증협회와 대한뇌전증학회(사회위 원회)의 그간의 활동을 정리하고, 전용보험의 필요성과 가입 절차를 소개하고자 한다.","PeriodicalId":132321,"journal":{"name":"Epilia: Epilepsy and Community","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126555846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Staged Treatment of Status Epilepticus","authors":"Jae-Moon Kim, Soo-Kyoung Kim","doi":"10.35615/epilia.2019.00017","DOIUrl":"https://doi.org/10.35615/epilia.2019.00017","url":null,"abstract":"Status epilepticus (SE), an increasingly recognized neurological issue in the clinical setting, is the second-most frequent life-threatening neurological emergency following stroke. SE has a high mortality rate that is largely contingent on the duration of SE before initial treatment, the etiology of SE, and the patient’s age. SE can be divided into four stages: (1) impending SE, (2) established SE, (3) refractory SE, and (4) super-refractory SE. Different therapeutic strategies are applied in each stage. This review provides up-to-date information on the pharmacotherapy of SE. The treatment of SE is evolving as new medications have become available. Three new preparations—fosphenytoin, rectal diazepam, and parenteral valproate—have implications for the management of SE. However, randomized controlled trials have shown that benzodiazepines should be the initial pharmacological therapy in patients with SE, and despite the paucity of clinical trials comparing medication regimens for acute seizures, there is a broad consensus that immediate diagnosis and treatment are necessary to reduce the morbidity and mortality of this condition. Recent data suggest that midazolam and propofol may substitute for phenobarbital or other long-acting barbiturates to reduce the duration of sedation. Nonconvulsive SE is diagnosed with increasing frequency, as electroencephalographic (EEG) monitoring is performed more often in various clinical situations. In patients with persistent alteration of consciousness with no clear etiology, physicians should obtain an EEG rapidly to identify potential SE. Physicians should rely on a standardized protocol for the management of SE to improve the care for this neurological emergency.","PeriodicalId":132321,"journal":{"name":"Epilia: Epilepsy and Community","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124136590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}