1300 187 187
The award-winning Seizures and Epilepsy in Childhood is the standard resource for parents in need of comprehensive medical information about their child with epilepsy. Now in its third edition, this highly praised book has been thoroughly revised and updated to reflect the latest approaches to the diagnosis and treatment of epilepsy in childhood, including the use of the ketogenic diet as a treatment for children who either do not respond to traditional drug therapy or who suffer intolerable side effects from medications.
In addition to providing up-to-date information about new diagnostic techniques as well as new drugs, diet, and surgical treatments, the authors have included a chapter addressing routine health care for children with epilepsy and a new chapter on complementary and alternative therapies. Also new to this edition are discussions of the progress made in the evaluation for surgery, a chapter on insurance issues, and a section detailing additional resources.
"No child's life should be defined by seizures. If we understand how the brain works, what happens during seizures, and how to cope with epilepsy, we can overcome the mythology of epilepsy and fight society's prejudices, allowing every child with epilepsy to reach his or her full potential." -- From Seizures and Epilepsy in Childhood
A helpful book... Discusses most concerns that parents of children with epilepsy have.--Jay Siwek, M.D. "Washington Post "
| List of Figures and Tables | p. xv |
| Foreword to the Third Edition | p. xvii |
| Foreword to the Second Edition | p. xix |
| Foreword to the First Edition | p. xxi |
| Preface | p. xxiii |
| Acknowledgments | p. xxvii |
| Introduction | p. 1 |
| Why Do Seizures and Epilepsy Occur? | |
| How the Brain Works: Understanding Seizures and Why There Are So Many Types | p. 9 |
| Society: A Model for Disruptions and Seizures | p. 10 |
| A Seizure Focus | p. 11 |
| Why Do Seizures Occur? | p. 13 |
| The Importance of Threshold | p. 17 |
| Explaining to Your Child How the Brain Works | p. 20 |
| The Kinds of Seizure and Where They Arise in the Brain | p. 21 |
| The Many Types of Seizure | p. 21 |
| Terms Describing the Phases of a Seizure | p. 23 |
| How Are Seizures Classified? | p. 24 |
| The Old System: "Grand Mal" and "Petit Mal" Seizures | p. 24 |
| The New System: "Generalized" and "Partial" Seizures | p. 24 |
| Generalized Seizures | p. 26 |
| Absence Seizures | p. 26 |
| Myoclonic Seizures | p. 26 |
| Atonic Seizures | p. 28 |
| Tonic-Clonic Seizures | p. 28 |
| Partial (Focal) Seizures and the Anatomy of the Brain | p. 30 |
| Motor and Sensory Areas | p. 33 |
| The Temporal Lobes: Lateral (Outer) | p. 35 |
| The Temporal Lobes: Mesial (Inner) | p. 36 |
| The Frontal Lobes | p. 38 |
| Other Areas of the Brain: The Occipital Lobes and Parietal Lobes | p. 39 |
| Simple Partial Seizures | p. 40 |
| With Motor Symptoms or with Sensory Symptoms | p. 40 |
| With Autonomic Symptoms | p. 41 |
| With Psychic Symptoms | p. 41 |
| Complex Partial Seizures | p. 42 |
| With Simple Partial Onset | p. 42 |
| With Loss of Consciousness at Onset | p. 42 |
| Gelastic Seizures | p. 43 |
| Differentiating between Types of Seizure | p. 44 |
| Locating the Site of Onset | p. 45 |
| Diagnosing Seizures and Epilepsy | |
| How We Diagnose a Seizure and Decide What It Will Mean for Your Child | p. 49 |
| Was It a Seizure? | p. 49 |
| Provoked and Unprovoked Seizures | p. 52 |
| Episodes Often Mistaken for Seizures | p. 52 |
| Is It Fainting or a Seizure? | p. 53 |
| Is It Daydreaming or a Seizure? | p. 55 |
| Tics | p. 55 |
| Myoclonic Jerks | p. 56 |
| Breathholding Spells | p. 56 |
| Migraine Headaches | p. 58 |
| Paroxysmal Behavioral Disturbances | p. 59 |
| Nonepileptic Seizures (Psychological Seizures, Pseudoseizures) | p. 60 |
| The Physician's Evaluation | p. 62 |
| How We Evaluate and Think about a First Seizure | p. 65 |
| Febrile Seizures | p. 65 |
| What Should You Do during a Seizure? | p. 67 |
| After the Seizure Is Over | p. 68 |
| Questions You Will Ask | p. 68 |
| Evaluation of the Child with a First Seizure without Fever | p. 73 |
| Decision Making: Assessing Risks and Benefits after a Nonfebrile Seizure | p. 77 |
| Whether or Not to Use Medicine | p. 79 |
| Decisions about Everyday Life | p. 83 |
| What to Do during a Second Big Seizure | p. 86 |
| What Should You Not Do? | p. 87 |
| What Should You Do? | p. 88 |
| When Should You Call for Help or an Ambulance? | p. 88 |
| Understanding Your Child's Tests: EEG, CT, and MRI | p. 93 |
| The Electroencephalogram (EEG) | p. 93 |
| When to Do an EEG | p. 95 |
| Performing an EEG | p. 95 |
| Sedation for an EEG | p. 96 |
| Normalities and Abnormalities on the EEG | p. 97 |
| Spikes | p. 99 |
| Slowing | p. 102 |
| EEG Abnormalities Related to Certain Seizure-Types | p. 102 |
| Absence Seizures | p. 103 |
| Atypical Absence Seizures | p. 103 |
| Other Special Patterns | p. 105 |
| Special EEG Procedures | p. 105 |
| "Why Do an EEG Anyway?" | p. 107 |
| Why Repeat an EEG? | p. 108 |
| Intensive EEG Monitoring | p. 108 |
| Ambulatory EEG Monitoring | p. 109 |
| Video-EEG Monitoring | p. 110 |
| CT and MRI Scanning | p. 112 |
| CT Scanning | p. 114 |
| Why a CT Scan? | p. 115 |
| MRI Scanning | p. 115 |
| The Epilepsies of Childhood: Special Patterns and Causes | p. 117 |
| Epilepsy and Its Special Forms | p. 117 |
| Epilepsy Syndromes | p. 117 |
| Benign Rolandic Epilepsy | p. 117 |
| Juvenile Myoclonic Epilepsy of Janz | p. 118 |
| Infantile Spasms (West Syndrome) | p. 119 |
| Lennox-Gastaut Syndrome | p. 121 |
| Landau-Kleffner Syndrome and Other Language Impairments | p. 121 |
| Neonatal Seizures | p. 123 |
| Special Conditions That Cause Epilepsy | p. 123 |
| Strokes | p. 124 |
| Developmental Abnormalities of the Brain | p. 124 |
| Tuberous Sclerosis | p. 125 |
| Sturge-Weber Syndrome | p. 126 |
| Neurofibromatosis | p. 128 |
| Chronic Infections | p. 128 |
| Herpes Virus | p. 129 |
| HIV Infections (AIDS) | p. 129 |
| Rasmussen's Syndrome | p. 129 |
| Degenerative Diseases | p. 130 |
| Treating Seizures and Epilepsy | |
| Medical Treatment of Seizures | p. 135 |
| Philosophy of Treatment | p. 135 |
| How Anticonvulsant Drugs Work in Epilepsy | p. 136 |
| Terms You Need to Know | p. 137 |
| Blood Levels of Anticonvulsants and the Therapeutic Range | p. 143 |
| Common Questions about Blood Levels | p. 145 |
| Drug Interactions | p. 147 |
| Choosing the Best Medication | p. 150 |
| Common Older, "First-Line" Drugs for Partial Seizures and Tonic-Clonic Seizures | p. 150 |
| Phenobarbital | p. 150 |
| Phenytoin (Dilantin) | p. 152 |
| Carbamazepine (Tegretol) | p. 153 |
| Valproic Acid (Depakene, Depakote) | p. 156 |
| Drugs for Absence and Other Generalized Seizures | p. 156 |
| Ethosuximide (Zarontin) | p. 156 |
| Valproic Acid (Depakene, Depakote) | p. 156 |
| The Benzodiazepines (Diazepam, Clonazepam, Clorazepate, and Lorazepam) | p. 158 |
| "Not Approved for Use in Children" | p. 158 |
| New Antiepileptic Medications | p. 159 |
| Felbamate | p. 159 |
| Gabapentin (Neurontin) | p. 160 |
| Lamotrigine (Lamictal) | p. 160 |
| Topiramate (Topamax) | p. 161 |
| Tiagabine (Gabitril) | p. 161 |
| Levetiracetam (Keppra) | p. 161 |
| Vigabatrin (Sabril) | p. 161 |
| Tegretol Analogues (Carbatrol, Tegretol-XR, Oxycarbazepine [Trileptal]) | p. 162 |
| Zonisamide (Zonegran) | p. 162 |
| How to Choose among the Many New Medications | p. 162 |
| Generic Drugs or Brand-Name Drugs? | p. 164 |
| Status Epilepticus: A Medical Emergency | p. 166 |
| Convulsive Status Epilepticus and Its Treatment | p. 166 |
| Nonconvulsive Status Epilepticus and Its Treatment | p. 169 |
| The Outlook for the Child with Seizures | p. 172 |
| What Is the Outlook after a First Seizure? | p. 173 |
| What Is the Outlook after a Second Seizure? | p. 175 |
| Questions You May Have | p. 176 |
| The Ketogenic Diet | p. 181 |
| History of the Diet | p. 181 |
| What Is the Ketogenic Diet? | p. 183 |
| Choosing and Managing the Diet | p. 184 |
| Parents' Questions about the Diet | p. 190 |
| Vitamins, Minerals, and Complementary and Alternative Therapies for Epilepsy | p. 193 |
| Vitamins, Minerals, Other Special Diets | p. 193 |
| Vitamins | p. 193 |
| Minerals | p. 194 |
| Complementary and Alternative Therapies for Epilepsy | p. 194 |
| The Theoretical Bases for Evidence-Based Therapies for Epilepsy | p. 198 |
| The Theoretical Bases for Alternative and Complementary Therapies for Epilepsy | p. 199 |
| Traditional Chinese Medicine | p. 200 |
| Chinese Herbal Therapies | p. 200 |
| Acupuncture | p. 201 |
| Phytotherapy | p. 202 |
| Homeopathy | p. 202 |
| Adjustments, Manipulations, and Massage | p. 203 |
| Chiropractic | p. 203 |
| Craniosacral Therapy | p. 204 |
| Osteopathy | p. 204 |
| Massage | p. 205 |
| Oxygen, Hyperbaric Oxygen, and Carbon Dioxide Therapies | p. 205 |
| Other New Alternative Therapies | p. 206 |
| Cerebellar Stimulation | p. 206 |
| Vagus Nerve Stimulation | p. 207 |
| Transcranial Magnetic Stimulation | p. 207 |
| Biofeedback | p. 207 |
| Conclusion | p. 207 |
| Surgical Approaches to Epilepsy | p. 209 |
| Thinking about Surgery | p. 211 |
| Tumor Surgery and Epilepsy Surgery | p. 214 |
| Surgery for Partial (Focal) Seizures | p. 215 |
| General Considerations for Focal Surgery | p. 215 |
| Is Your Child a Candidate for Surgery? | p. 216 |
| Confirming that Your Child Is a Candidate for Surgery | p. 219 |
| Risk-Benefit Discussion with Your Physicians | p. 220 |
| Evaluation of Language | p. 222 |
| Invasive Studies | p. 223 |
| Special Techniques for Localization of the Seizure Focus | p. 229 |
| Making the Final Decision | p. 231 |
| Including the Child in the Decision | p. 233 |
| Surgery for Other Types of Seizures | p. 234 |
| Hemispherectomy | p. 234 |
| Vagus Nerve Stimulation | p. 241 |
| Corpus Callosum Sectioning | p. 242 |
| Tips for Parents of Children Undergoing Invasive Monitoring or Surgery | p. 243 |
| Monitoring | p. 243 |
| Surgery | p. 244 |
| The Hospital Routine for Patients Undergoing Surgery | p. 246 |
| Coping with Epilepsy | |
| Coping with Seizures and Epilepsy | p. 251 |
| The First "Big" Seizure | p. 251 |
| What You Should Know | p. 251 |
| What Do You Tell Your Child after a Single Seizure? | p. 253 |
| What Do You Tell Other Children after a Single Seizure? | p. 254 |
| What Do You Tell Grandparents and Friends after a Single Seizure? | p. 254 |
| What Do You Tell the School after a Single Seizure? | p. 255 |
| Recurrent Tonic-Clonic Seizures: Epilepsy | p. 256 |
| Benign Epilepsy of Childhood | p. 257 |
| Controlled Epilepsy of Childhood | p. 258 |
| Coming to Terms with Epilepsy: Fear, Grief, Anger, Acceptance | p. 258 |
| Helping Your Child Cope with Epilepsy | p. 261 |
| What Do You Tell Grandparents and Friends When Seizures Recur? | p. 264 |
| What Do You Tell the School and Classmates after Additional Seizures? | p. 264 |
| Absence Seizures | p. 265 |
| Complex Partial Seizures | p. 267 |
| Is Your Child Disabled or Handicapped? | p. 268 |
| Coping with the Uncertainties of Seizures and Epilepsy: The Power of Positive Thinking | p. 271 |
| A Tale of Two Parents | p. 271 |
| The Power of Positive Thinking | p. 276 |
| Communicating | p. 277 |
| Anxiety, the Greatest Enemy | p. 277 |
| Coping with Substantial Handicap: Mental Retardation, Cerebral Palsy, and Difficult-to-Control Seizures | p. 280 |
| Coping with Labels | p. 281 |
| Mental Retardation | p. 281 |
| Commonly Asked Questions | p. 282 |
| Cerebral Palsy | p. 284 |
| Spastic Hemiparesis | p. 285 |
| Spastic Quadriparesis | p. 287 |
| Diplegia | p. 288 |
| Abnormal Movements | p. 288 |
| Difficult-to-Control Seizures | p. 289 |
| Coping with Severe Handicap with Epilepsy | p. 291 |
| A Parent's Special Needs | p. 292 |
| Coping with Shattered Expectations | p. 295 |
| Epilepsy as a Psychosocial Disease | p. 298 |
| The Child's Self-Perception | p. 299 |
| Overprotection and Overindulgence | p. 300 |
| Attitudes of Brothers and Sisters | p. 301 |
| Sibling Workshops | p. 302 |
| Camps | p. 303 |
| Attitudes of Friends | p. 304 |
| How Common Are Psychosocial Problems? | p. 304 |
| Counseling: A Dialogue | p. 306 |
| Who Needs Counseling? | p. 307 |
| Where Counseling Helped: An Example | p. 309 |
| How Do You Help Teenagers Cope? | p. 311 |
| Counseling the Younger Child | p. 314 |
| Particularly Difficult Circumstances | p. 317 |
| Acceptance and Responsibility | p. 323 |
| Living with Epilepsy | |
| School: Learning and Behavior | p. 329 |
| Intelligence | p. 330 |
| Learning Problems | p. 331 |
| Attention Problems and Hyperactivity | p. 333 |
| Psychological and Social Problems | p. 336 |
| Routine Medical Care and Epilepsy | p. 341 |
| Sports and Epilepsy | p. 345 |
| Driving and Epilepsy | p. 351 |
| Marriage, Pregnancy, and Children | p. 355 |
| Marriage and Parenthood | p. 355 |
| Risks of Pregnancy while Taking Anticonvulsant Drugs | p. 356 |
| Breastfeeding and Birth Control | p. 360 |
| "Will My Child Have Neurological Problems?" | p. 360 |
| Other Genetic Issues | p. 361 |
| Support Services and Additional Information for People with Epilepsy and Their Families | p. 363 |
| National and Local Epilepsy Services | p. 363 |
| Getting Information | p. 366 |
| Epilepsy and the Internet | p. 366 |
| Reliable Sourcese of Information | p. 367 |
| Selected Bibliography on the Ketogenic Diet | p. 367 |
| Insurance and Other Financial Issues | p. 369 |
| Conclusion | p. 373 |
| Glossary | p. 375 |
| Index | p. 387 |
| Table of Contents provided by Syndetics. All Rights Reserved. |
ISBN: 9780801870507
ISBN-10: 080187050X
Series: A Johns Hopkins Press Health Book
Audience:
Professional
For Ages: 18+ years old
Format:
Hardcover
Language:
English
Number Of Pages: 432
Published: 25th November 2002
Publisher: Johns Hopkins University Press
Dimensions (cm): 22.9 x 15.2
x 3.4
Weight (kg): 0.717
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