Painful Seizures: a Review of Epileptic Ictal Pain

Hwang, Sean; Goodman, Tamara; Stevens, Scott J.

doi:10.1007/s11916-019-0825-6

Cited by 11 publications

(8 citation statements)

References 49 publications

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“…Pain was the most common physical disorder observed for both the newly diagnosed and DRE cohorts, affecting over threequarters of patients. Reports of pain could possibly arise for several reasons, including a possible shared underlying pathogenic mechanism with epilepsy [36,47], or arise as a symptom of pain-related disorders such as migraine headache [48], mood disorders (e.g., depression) [47], or muscular-skeletal injury due to seizurerelated accidents [49][50][51], and in rare cases, a symptom of an epileptic seizure [52,53]. In this study, drug dependence and abuse, including opioid dependence, were present in both cohorts, with proportionally more individuals affected in the DRE cohort.…”

Section: Discussionmentioning

confidence: 99%

Individuals who develop drug-resistant epilepsy within a year after initial diagnosis have higher burden of mental and physical diseases one-year prior to epilepsy diagnosis as compared to those whose seizures were controlled during the same interval

Teneralli

Cepeda

Kern

et al. 2021

Epilepsy & Behavior

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Introduction: Epilepsy is a neurological disease characterized by recurrent, unprovoked seizures and its impact on biological, cognitive, psychological, and social outcomes. An unmet need for finding effective treatment options exists. Identifying medical diagnoses present prior to a diagnosis of epilepsy is an important step in increasing our understanding of how people with epilepsy may respond to therapy, help guide clinicians in managing associated comorbid conditions, and inform future research. Methods: A population-based retrospective comparative cohort study was conducted using administrative claims data to explore differences in medical diagnoses prior to an initial diagnosis of epilepsy between patients with and without drug-resistant epilepsy (DRE) identified within one-year post diagnosis by evaluating standardized mean differences between the groups. Results: A total of 205,183 patients with newly diagnosed epilepsy were identified. Of those, 4.1% (n = 8340) were considered drug resistant one-year post diagnosis. Pain and mood disorders were the common physical and psychiatric diagnoses in both cohorts. Differences between the newly diagnosed epilepsy and DRE cohorts were observed. Patients in the DRE cohort were younger, had more encounters with the healthcare system, and higher burden of disease for both physical (e.g., headache, neuropathy, muscular-skeletal disorders, and traumatic brain injury) and psychiatric diagnoses (e.g., depression, anxiety, bipolar disorder, suicidal thoughts, drug dependency, and sleep disorders). Conclusion: Physical and psychiatric diagnoses are common one year prior to first diagnosis of epilepsy in administrative claims data. Compared to patients without DRE, those who develop DRE within one-year post initial diagnosis demonstrated a higher burden of disease.

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Section: Discussionmentioning

confidence: 99%

Individuals who develop drug-resistant epilepsy within a year after initial diagnosis have higher burden of mental and physical diseases one-year prior to epilepsy diagnosis as compared to those whose seizures were controlled during the same interval

Teneralli

Cepeda

Kern

et al. 2021

Epilepsy & Behavior

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“…Painful somatosensory auras suggest involvement of the posterior insular cortex and the secondary somatosensory area, with some involvement of the opercular portion of the primary somatosensory area [5]. Painful abdominal auras are mainly found in TLE, but also in frontal and parietal lobe epilepsies [1,2,6]. Although not completely understood, painful abdominal auras may result from ictal involvement of the amygdala which transmits to the gastrointestinal tract via the dorsal motor nucleus of the vagus nerve, and as a common mimic of temporal or fronto-parietal epilepsy, the insula and operculum should also be considered as a possible source of these sensations [6].…”

Section: Discussionmentioning

confidence: 99%

Nasal pain as an aura: Amygdala origin?

Heo

Kim

Han

et al. 2020

Seizure

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“…Estes identificam, então, a qual classe de EEG aquele sinal pertence, com base nas características extraídas. Quando referente a EEG de indivíduos com epilepsia, as classes podem pertencer aos estágios pré-ictais, ictais, pós-ictal e interictal [Fisher et al 2014, Hwang et al 2019.…”

Section: Introductionunclassified

Uma abordagem baseada em redes neurais artificiais sobre o espectro de potência de eletroencefalogramas para o auxílio médico na classificação de crises epiléticas

Vargas¹,

Oliva²,

Teixeira³

2021

Anais Do XXI Simpósio Brasileiro De Computação Aplicada À Saúde (SBCAS 2021)

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A epilepsia é a quarta enfermidade neurológica mais comum e atinge aproximadamente 1% da população mundial. O diagnóstico é, em geral, amparado por um eletroencefalograma (EEG), cuja análise depende da interpretação médica, o que por vezes gera incongruência de diagnóstico, além de ser um trabalho tedioso, impreciso e propenso a erros. Este trabalho propõe um método de reconhecimento automático de padrões baseado em aprendizado de máquina e engenharia de características aplicadas ao espectros de potência de segmentos de EEGs. Resultados sugerem a possibilidade de detectar crises epilépticas com uma precisão superior a 80% em bases de dados já utilizadas na literatura.

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Painful Seizures: a Review of Epileptic Ictal Pain

Cited by 11 publications

References 49 publications

Individuals who develop drug-resistant epilepsy within a year after initial diagnosis have higher burden of mental and physical diseases one-year prior to epilepsy diagnosis as compared to those whose seizures were controlled during the same interval

Individuals who develop drug-resistant epilepsy within a year after initial diagnosis have higher burden of mental and physical diseases one-year prior to epilepsy diagnosis as compared to those whose seizures were controlled during the same interval

Nasal pain as an aura: Amygdala origin?

Uma abordagem baseada em redes neurais artificiais sobre o espectro de potência de eletroencefalogramas para o auxílio médico na classificação de crises epiléticas

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