Articles about Epilepsy

Antiepileptic Drugs in Pregnancy
Practice parameters are strategies for patient management that assist physicians in clinical decision making. This article describes parameters to meet what the Quality Standards subcommittee (QSS) seeks to develop: scientifically sound and clinically relevant practice parameters for the practice of neurology. (1/28/98)

Contraception, Pregnancy and Lactation in Women with Epilepsy
This article is included in the latest edition of Modern Management of Epilepsy a revision of Bailliere's Clinical Neurology edited by Brodie and Treiman, published by Bailliere Tindall, London. It reviews the state of the art in the management of women with epilepsy in 1997. (11/6/97)

Developmental Outcomes of Children of Mothers with Epilepsy
It has been well established that children of mothers with epilepsy (CME), are at greater risk for a variety of adverse outcomes of pregnancy. With the possible exception of fetal death and infant mortality, effective interventions are generally available for most outcomes. We have studied a group of children of mothers with epilepsy prospectively to determine the extent and risk factors for this problem. (1/28/98)

Epilepsy and Pregnancy
Women who have epilepsy have special concerns when they decide to have a baby. View the abstract, or the full text version that answers a list of commonly asked questions. Now available with Spanish translation. (12/11/96)

Headaches and Women
Women patients are prone to suffer more frequent headaches than their male counter parts. In this chapter we will examine headache and the particular problems which arise in the diagnosis and treatment of women. (10/28/97 )

Infant Mortality of Infants of Mothers with Epilepsy
Infants of mothers with epilepsy have three times the fetal death rate of control infants. Infants of women who have gestational convulsions have rates of neonatal death three times that of controls. This is a study conducted by Dr. Mark Yerby addressing this subject. Abstract or full text (11/20/96)

Initial Management of New Onset Seizures, to Treat or Not to Treat?
for Physicians. In one's approach to diagnosis and management one must not only draw upon our collective knowledge of the pathophysiology of seizures but upon our abilities to humanely guide and counsel anxious patients. The consequences of a diagnosis and treatment must be weighted against the risks of recurrent seizures. This review will cover the following areas: Definitions, and prevalence; Risk of recurrence; Predictors of recurrence; Patient evaluation; Initiation of treatment. (November 1998)

Special Considerations for Women with Epilepsy
Women with epilepsy present their health care providers with unique problems and hence opportunities for advancement of care. The fundamentals of epileptic pathophysiology are similar in men and women. In the management of women however, one must take into account the significant differences between the sexes. Cosmetic effects of antiepileptic drugs (AED) may have different implications for women than men. A subset of women has seizures that are associated with their menstrual cycle or catamenial epilepsy. Such patients may need special attention to their cyclic hormone changes as well as to their AED selection. Antiepileptic drugs may reduce the effectiveness of hormonal contraception resulting in unplanned pregnancies. Women with epilepsy have higher than expected rates of infertility and an increased prevalence of reproductive and endocrine disorders. The majority of women with epilepsy have normal healthy children, but their pregnancies are considered high risk due to an increase in seizure frequency, metabolic alterations of AED which complicate management, and an increased risk of adverse pregnancy outcomes. This report reviews these issues and suggests an approach to optimize the management of women with epilepsy. (1999)

The North American Registry of Pregnacy and Epilepsy
This registry has been established as a surveillance mechanism to identify adverse pregnancy outcomes which may be associated with fetal exposure to antiepileptic drugs. Abstract or full text (1/15/97)

	More articles about epilepsy The most recent articles can be found on our home page. The following is a partial list of articles and research projects performed under the auspices of the North Pacific Epilepsy Research and Dr. Mark Yerby. Professionals: see also Health Policy Issues

These are brief descriptions in alphabetical order. Click on the title to go to the full text version.

Antiepileptic Drugs in Pregnancy Practice parameters are strategies for patient management that assist physicians in clinical decision making. This article describes parameters to meet what the Quality Standards subcommittee (QSS) seeks to develop: scientifically sound and clinically relevant practice parameters for the practice of neurology. (1/28/98) Contraception, Pregnancy and Lactation in Women with Epilepsy This article is included in the latest edition of Modern Management of Epilepsy a revision of Bailliere's Clinical Neurology edited by Brodie and Treiman, published by Bailliere Tindall, London. It reviews the state of the art in the management of women with epilepsy in 1997. (11/6/97) Developmental Outcomes of Children of Mothers with Epilepsy It has been well established that children of mothers with epilepsy (CME), are at greater risk for a variety of adverse outcomes of pregnancy. With the possible exception of fetal death and infant mortality, effective interventions are generally available for most outcomes. We have studied a group of children of mothers with epilepsy prospectively to determine the extent and risk factors for this problem. (1/28/98) Epilepsy and Pregnancy Women who have epilepsy have special concerns when they decide to have a baby. View the abstract, or the full text version that answers a list of commonly asked questions. Now available with Spanish translation. (12/11/96) Headaches and Women Women patients are prone to suffer more frequent headaches than their male counter parts. In this chapter we will examine headache and the particular problems which arise in the diagnosis and treatment of women. (10/28/97 ) Infant Mortality of Infants of Mothers with Epilepsy Infants of mothers with epilepsy have three times the fetal death rate of control infants. Infants of women who have gestational convulsions have rates of neonatal death three times that of controls. This is a study conducted by Dr. Mark Yerby addressing this subject. Abstract or full text (11/20/96) Initial Management of New Onset Seizures, to Treat or Not to Treat? for Physicians. In one's approach to diagnosis and management one must not only draw upon our collective knowledge of the pathophysiology of seizures but upon our abilities to humanely guide and counsel anxious patients. The consequences of a diagnosis and treatment must be weighted against the risks of recurrent seizures. This review will cover the following areas: Definitions, and prevalence; Risk of recurrence; Predictors of recurrence; Patient evaluation; Initiation of treatment. (November 1998) Special Considerations for Women with Epilepsy Women with epilepsy present their health care providers with unique problems and hence opportunities for advancement of care. The fundamentals of epileptic pathophysiology are similar in men and women. In the management of women however, one must take into account the significant differences between the sexes. Cosmetic effects of antiepileptic drugs (AED) may have different implications for women than men. A subset of women has seizures that are associated with their menstrual cycle or catamenial epilepsy. Such patients may need special attention to their cyclic hormone changes as well as to their AED selection. Antiepileptic drugs may reduce the effectiveness of hormonal contraception resulting in unplanned pregnancies. Women with epilepsy have higher than expected rates of infertility and an increased prevalence of reproductive and endocrine disorders. The majority of women with epilepsy have normal healthy children, but their pregnancies are considered high risk due to an increase in seizure frequency, metabolic alterations of AED which complicate management, and an increased risk of adverse pregnancy outcomes. This report reviews these issues and suggests an approach to optimize the management of women with epilepsy. (1999) The North American Registry of Pregnacy and Epilepsy This registry has been established as a surveillance mechanism to identify adverse pregnancy outcomes which may be associated with fetal exposure to antiepileptic drugs. Abstract or full text (1/15/97)