Seizure-Precipitating Factors in Relation to medical Recommendations

Stanuszek, Agnieszka; Wnękowicz, Emilia; Kuźniar, Ewelina; Krakowska, Karolina; Gergont, Aleksandra; Kaciński, Marek

doi:10.1177/0883073815574334

Cited by 15 publications

(12 citation statements)

References 27 publications

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“…The prevalence of seizure‐precipitating factors in our study population reached 74%. This corresponds well to human questionnaire‐based studies, in which the prevalence varies between 27.5% and 98% . Furthermore, our study showed that almost all of the dogs had both precipitated and unprecipitated seizures, a finding also similar to human studies .…”

Section: Discussionsupporting

confidence: 91%

Seizure‐precipitating factors in dogs with idiopathic epilepsy

Forsgård

Metsähonkala

Kiviranta

et al. 2018

Veterinary Internal Medicne

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Background Stress, sleep deprivation, and infectious diseases are important seizure‐precipitating factors in human epilepsy patients. However, these factors have not been thoroughly studied in epileptic dogs. Objective Seizure‐precipitating factors are common in dogs with idiopathic epilepsy and the occurrence of these factors associate with the dogs' signalment, personality, and epilepsy‐related factors. Animals Fifty dogs with diagnosed idiopathic epilepsy from the hospital populations of University Veterinary Teaching Hospital of University of Helsinki and Referral Animal Hospital Aisti. Methods In a retrospective cross‐sectional observational study, owners were interviewed about their dogs' possible seizure‐precipitating factors according to a predefined questionnaire. The dogs were identified and selected by searching the medical records of the participating animal hospitals. Results The prevalence of seizure‐precipitating factors in the study population was 74% (37/50). The most frequently reported factors included stress‐related situations, sleep deprivation, weather, and hormonal factors. In dogs with focal onset seizures, the number of precipitating factors was 1.9 (95% CI 1.1‐3.4) times higher compared to dogs with generalized seizures. Conclusions and Clinical Importance Seizure‐precipitating factors are common in dogs with idiopathic epilepsy, and the nature of these factors is consistent with those of human patients. Aside from antiepileptic medication, acknowledging and avoiding seizure‐precipitating factors could help veterinarians achieve better treatment outcomes.

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Section: Discussionsupporting

confidence: 91%

Seizure‐precipitating factors in dogs with idiopathic epilepsy

Forsgård

Metsähonkala

Kiviranta

et al. 2018

Veterinary Internal Medicne

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“…Individuals with epilepsy face barriers with respect to accessing opportunities for PA due to the perceived increased risk of seizure activity, fear of seizure-related injury and the provision of inappropriate advice from medical professionals 13,14,15 . These concerns, although persistent and pervasive, have been addressed by the International League Against Epilepsy (ILAE) Task Force Report on Sport and Epilepsy 16 which concluded that few sports should be considered off-limits for PWE, provided that appropriate, individualised risk assessment has been undertaken.…”

Section: Introductionmentioning

confidence: 99%

“…11,12 Individuals with epilepsy face barriers with respect to accessing opportunities for PA due to the perceived increased risk of seizure activity, fear of seizure-related injury, and inappropriate advice from medical professionals. [13][14][15] These concerns, although persistent and pervasive, have been addressed by the International League Against Epilepsy Task Force Report on Sport and Epilepsy, 16 which concluded that few sports should be considered off-limits for PWE provided that appropriate, individualized risk assessment has been undertaken. The report also suggested that contrary to historical belief, PA may beneficially affect seizure frequency and severity and that PA is unlikely to provoke seizure activity even when intensity of physical effort is increased to a point of exhaustion.…”

Section: Introductionmentioning

confidence: 99%

Physical activity in people with epilepsy: A systematic review

2020

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This study aimed to systematically review studies focussing on levels of physical activity (PA) in people with epilepsy (PWE) compared with non-epilepsy controls, and identify factors associated with PA in PWE. Intervention studies were also reviewed to consider the effects of psychological interventions on levels of PA, and the effects of PA-based interventions on seizure activity, psychiatric comorbidity and health related quality of life (HRQoL). PRISMA guidelines were followed. Searches were conducted using PubMed, Cochrane Controlled Register of Trials, PsychINFO and EMBASE. Forty-six studies met inclusion criteria including case-control, cross-sectional and intervention studies. Assessment measures included questionnaires, activity trackers and measures of physiological fitness. Twelve of 22 (54.5%) case-control studies utilising self-report questionnaire measures reported that PWE were performing lower levels of PA, less likely to be engaging in PA or less likely to meet PA guidelines than controls. The remaining studies did not find a difference between PWE and controls. Eight of 12 (67%) case-control studies utilising exercise/fitness tests reported that PWE performed significantly poorer than controls, whilst in two studies PWE performed better than controls. One of three studies investigating the relationship between PA and seizure frequency found that increased self-reported PA was associated with having fewer seizures, whilst two did not find a significant relationship. All seven cross-sectional studies which included measures of HRQoL and depression/anxiety found a positive relationship between levels of PA and HRQoL/reduced levels of depression and anxiety. All four studies that used PA-based interventions demonstrated improvements in levels of PA and increased HRQoL.Study quality was almost universally low. In conclusion, there is some evidence that PWE engage in less PA than peers, and that interventions can improve PA levels and HRQoL.

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“…As for the seizures episode, we know that infections and fever are leading seizure-precipitating factors in children. (6) To our knowledge, this is the rst case of self-limited seizures in an afebrile child with SARS-CoV-2. At present, we can only speculate that SARS-CoV-2 infection may have triggered the onset of selflimited focal epilepsy in our patient.…”

Section: Resultsmentioning

confidence: 80%

Self-limited focal epilepsy in a young child with SARS-CoV-2: serendipity or causal association?

Silvagni

Soloni

Darra

et al. 2020

Preprint

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Neurological manifestations have been reported in adults with COVID-19. In children with COVID-19, data on neurological symptoms are scarce. A 4-year-old girl was assisted at home for prolonged afebrile seizures. She was unresponsive, with a conjugate eye right deviation lasting > 20 minutes. Intravenous midazolam was administered. Before arrival in our Emergency Department, EMS providers excluded risk factors for COVID-19, such as fever, respiratory symptoms, other signs of viral infections, or recent contacts with suspected COVID-19 cases. Upon her arrival, seizures had resolved, GCS was 12. Temperature was 36,6°C. Chest was clear (SatO2 100%). Blood tests did not show signs of infection. We collected a nasopharyngeal swab, which tested positive for SARS-CoV-2. The patient rapidly recovered her neurological function. A pediatric neurological examination and video-EEG recording produced a possible diagnosis of self-limited focal epilepsy, with temporo-occipital spikes. Family history revealed her father had occasional seizures during fever episodes, at 14 and 21 years. The child was discharged home, scheduling further neurological investigations once the swab was negative. Our case emphasizes that keeping a high suspicion for SARS-CoV-2 infection is pivotal in hot spots, regardless of the absence of typical COVID-19 symptoms. As for the seizures episode, we know infections and fever are leading seizure precipitating factors in children. To our knowledge, this is the first case of focal status epilepticus in new onset focal self-limited epilepsy in an afebrile child with SARS-CoV-2. We speculate that SARS-CoV-2 infection may have triggered the onset of self-limited focal epilepsy in our patient.

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Seizure-Precipitating Factors in Relation to medical Recommendations

Cited by 15 publications

References 27 publications

Seizure‐precipitating factors in dogs with idiopathic epilepsy

Seizure‐precipitating factors in dogs with idiopathic epilepsy

Physical activity in people with epilepsy: A systematic review

Self-limited focal epilepsy in a young child with SARS-CoV-2: serendipity or causal association?

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