Self-perception of factors that precipitate or inhibit seizures in juvenile myoclonic epilepsy

Self-perception of factors that precipitate or inhibit seizures in juvenile myoclonic epilepsy

Autor Sousa, Patrícia da Silva Autor UNIFESP Google Scholar
Lin, Katia Autor UNIFESP Google Scholar
Garzon, Eliana Autor UNIFESP Google Scholar
Sakamoto, Américo Ceiki Autor UNIFESP Google Scholar
Yacubian, Elza Márcia Targas Autor UNIFESP Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Universidade de São Paulo (USP)
Resumo Purpose: To assess self-perception of factors that precipitate or inhibit seizures in patients with juvenile myoclonic epilepsy (JME).Patients and methods: Thirty-six mates and 39 females with JME and mean age of 25.8 +/- 8.7 years were analysed. All patients completed a standardized questionnaire to assess for the presence or absence of precipitant or inhibitory factors for their seizures in a face-to-face interview. These data were statistically analysed through logistic and linear regression models and Phi coefficient.Results: Ninety-two percent of the patients identified at least one precipitating factor (PF). in order of frequency the following PI's were recorded: stress (83%), steep deprivation (77%), specific thoughts/mental concentration (23%), performance of hand activities and complex finger movements (20%), flashing lights and playing games (15%), speaking out in public (11%) and alcohol intake (11%), reading (7%), calculating and writing (5%), playing musical instruments (4%), drawing (3%), and specific types of music (1%). Menstrual cycle was the third most important PF in the women (33%). Although PI's were easily recognized, 77% of the patients stated that they were unable to avoid the occurrence of the seizures.Conclusions: Structured questionnaire is useful in stimulating patients to self-report seizure precipitants. Patients with higher education and uncontrolled seizures identified them more easily. the presence of a significant number of uncommon PFs, such as mental. and motor hand tasks, considered uncommon for other epileptic syndromes, suggests that the role of these factors may be under-recognized in JME. (c) 2005 BEA Trading Ltd. Published by Elsevier B.V. All rights reserved.
Palavra-chave juvenile myoclonic epilepsy
seizure precipitants
seizure-inhibiting factors
questionnaire
patient education
Idioma Inglês
Data de publicação 2005-07-01
Publicado em Seizure-european Journal of Epilepsy. London: W B Saunders Co Ltd, v. 14, n. 5, p. 340-346, 2005.
ISSN 1059-1311 (Sherpa/Romeo, fator de impacto)
Publicador W B Saunders Co Ltd
Extensão 340-346
Fonte http://dx.doi.org/10.1016/j.seizure.2005.04.007
Direito de acesso Acesso aberto Open Access
Tipo Artigo
Web of Science WOS:000230802000007
Endereço permanente http://repositorio.unifesp.br/handle/11600/28352

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