The Adjustment to Living Without Epilepsy

Ferguson, Shirley M.; Rayport, Mark

doi:10.1097/00005053-196501000-00003

Cited by 93 publications

(32 citation statements)

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“…The "Burden of Normality" may contribute to why patients with good seizure control committed suicide 16 . Epilepsy often provides social and emotional protection from day to day demands 17 .…”

Section: Resultsmentioning

confidence: 99%

“…However, a surgical cure eliminates the "excuse" that seizures impair psychosocial performance. The burden of normality can includes psychological, behavioral, affective, and sociological features 16 . Psychologically, for example, patients may hold cognitive beliefs that they need to prove how they are "normal" and create unreasonable expectations.…”

Section: Resultsmentioning

confidence: 99%

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Suicide outcomes after resective epilepsy surgery

Hamid

Devinsky

Vickrey

et al. 2012

Epilepsy & Behavior

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People with epilepsy have a higher risk for suicide than people without epilepsy. The relationship between seizure control and suicide is controversial. A standardized protocol to record history, diagnostic testing, and neuropsychiatric assessments was administered. The Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BDA) were administered presurgically and yearly for up to five years. Of the 396 enrolled, 4/27 deaths were attributed to suicide. The standardized mortality ratio, compared to suicides in the U.S. population and adjusted for age and gender, was 13.3 (95% CI=3.6, 34.0). Only one patient had a BDI score suggestive of severe depression (BDI=33), one had depressive symptoms that do not the meet the depressive range (BDI=7), while the other two reported no depressive symptoms. Two of the patients reported moderate to severe anxiety symptoms (BDI = 17 and 21, respectively). Suicide may occur after epilepsy surgery even when patients report excellent seizure control.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Suicide outcomes after resective epilepsy surgery

Hamid

Devinsky

Vickrey

et al. 2012

Epilepsy & Behavior

View full text Add to dashboard Cite

show abstract

“…Many of the unemployed patients of Sperling et al took up to 6 years to obtain employment. Likewise, behavioral abnormalities may not improve until long after seizures are controlled by surgery (25,26).…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Work Outcome After Anterior Temporal Lobectomy for Intractable Epilepsy

Reeves

Evans

et al. 1997

Epilepsia

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Summary:Purpose: Whereas the effect of anterior temporal lobectomy on seizure frequency is well recognized, less is known about its impact on work status.Methods: One hundred thirty-four of 190 consecutive patients with temporal lobectomy participated in this study. Eligibility criteria were developed to ensure that only patients with the potential of achieving specific outcomes were included in the corresponding analyses.Results: After surgery, significantly more patients were independent in activities of daily living (p < 0.001) or able to drive (p < 0.001). Income from work also increased (p < 0.01).Nearly one fifth of the patients who were eligible for analysis had either a gain (8%) or a loss (1 1%) of full-or of part-time work. Univariate analyses revealed the following factors to be associated with full-time work after surgery: student or fulltime work within a year before surgery, full-time work experience before surgery, full-or part-time employment experience before surgery, no disability benefits before surgery, low postsurgical seizure frequency, improved postsurgical seizure control, excellent postsurgical seizure control, driving after sur- Conclusions: Anterior temporal lobectomy for intractable epilepsy improves activities of daily living and the ability to drive. Work outcome of this surgery is influenced by presurgical work experience, successful postsurgical seizure control especially to allow driving, and obtaining further education after surgery.

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“…NESs are not infrequent among patients with well-documented chronic epilepsy (1)(2)(3). In several reported cases, NESs developed after resective surgery in patients with medically refractory epileptic seizures (4)(5)(6)(7).…”

mentioning

confidence: 99%

Nonepileptic Seizures After Resective Epilepsy Surgery

Glosser

Roberts

Glosser³

1999

Epilepsia

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Summary:Purpose: To identify factors that are associated with the emergence of nonepileptic seizures (NES) after resective epilepsy surgery.Methods: Twenty-two patients with medically refractory epilepsy in whom NESs were documented by EEG after resective surgery were compared with a larger series of epilepsy surgery patients on demographic, neurologic, and psychiatric variables.Results: NES tended to become apparent in the first few months after surgery. Patients who developed NESs did not differ from other epilepsy surgery patients in terms of age, IQ, or preoperative psychiatric diagnoses. However, surgical NES patients' neurologic problems and seizures began later in life, the NES group included a larger proportion of female subjects and patients with right hemisphere surgery, and NES patients were more likely to develop non-NES psychiatric problems after surgery.Conclusions: The heterogeneous collection of behaviors subsumed under the label NESs are determined by multiple factors.Several variables were found to be specifically associated with the development of NES after resective epilepsy surgery: A disproportionate number of postsurgical NES patients are female, they have primary neurologic dysfunction in the right hemisphere, and their epileptic seizures often began after adolescence. We propose that at least one group of patients with somatoform tendencies develop NESs as part of the psychiatric instability that occurs often in the few months after resective surgery. Key Words: Nonepileptic seizures-Temporal lobectomy.Nonepileptic seizures (NESs) may be defined as repeated paroxysmal behavioral events that are falsely interpreted to be epileptic seizures, either by the patient himself or herself or by others, but which are not accompanied by electrographic indicators of epilepsy on concurrent EEG. NESs are not infrequent among patients with well-documented chronic epilepsy (1-3). In several reported cases, NESs developed after resective surgery in patients with medically refractory epileptic seizures (4-7).It has been suggested that the prevalence of NES after epilepsy surgery is higher than generally recognized (3, although this problem has received relatively little attention and systematic study. This study examined a group of postsurgical epilepsy patients with EEG-documented NES to identify factors that might be associated with the development of NES after resective surgery. NES patients were compared with a larger group of unselected epilepsy surgery patients on various demographic, neurologic, and psychiatric variables.

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The Adjustment to Living Without Epilepsy

Cited by 93 publications

References 0 publications

Suicide outcomes after resective epilepsy surgery

Suicide outcomes after resective epilepsy surgery

Factors Associated with Work Outcome After Anterior Temporal Lobectomy for Intractable Epilepsy

Nonepileptic Seizures After Resective Epilepsy Surgery

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