Diagnosing and managing childhood absence epilepsy by telemedicine

Stafstrom, Carl E.; Sun, Lisa R.; Kossoff, Eric H.; Dabrowski, Ania K.; Singhi, Samata; Kelley, Sarah A.

doi:10.1016/j.yebeh.2020.107404

Cited by 12 publications

(11 citation statements)

References 9 publications

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“…69 Generalized spike-wave and absence seizures are both provoked by hyperventilation in most untreated patients. 51,75,76 Slow spike-wave (<2.5 Hz) is not seen. If an untreated child performs hyperventilation well for 3 min and no generalized spike-wave is seen, childhood absence epilepsy can be excluded.…”

Section: Ictalmentioning

confidence: 97%

“…Disorganized discharges, defined by brief (<1 s) or transient interruptions in the ictal rhythm, or waveforms of different frequency or morphology are significantly less common than in JAE 69 . Generalized spike‐wave and absence seizures are both provoked by hyperventilation in most untreated patients 51,75,76 . Slow spike‐wave (<2.5 Hz) is not seen.…”

Section: Childhood Absence Epilepsymentioning

confidence: 99%

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ILAE definition of the Idiopathic Generalized Epilepsy Syndromes: Position statement by the ILAE Task Force on Nosology and Definitions

et al. 2022

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In 2017, the International League Against Epilepsy (ILAE) Classification of Epilepsies described the "genetic generalized epilepsies" (GGEs), which contained the "idiopathic generalized epilepsies" (IGEs). The goal of this paper is to delineate the four syndromes comprising the IGEs, namely childhood absence epilepsy, juvenile absence epilepsy, juvenile myoclonic epilepsy, and epilepsy with generalized tonic-clonic seizures alone. We provide updated diagnostic criteria for these IGE syndromes determined by the expert consensus opinion of the ILAE's Task Force on Nosology and Definitions (2017-2021) and international external experts outside our Task Force. We incorporate current knowledge from recent advances in genetic, imaging, and electroencephalographic studies, together with current terminology and classification of seizures and epilepsies. Patients that do not fulfill criteria for one of these syndromes, but that have one, or a combination, of the following generalized seizure types: absence, myoclonic, tonic-clonic and myoclonictonic-clonic seizures, with 2.5-5.5 Hz generalized spike-wave should be classified as having GGE. Recognizing these four IGE syndromes as a special grouping among the GGEs is helpful, as they carry prognostic and therapeutic implications.

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Section: Ictalmentioning

confidence: 97%

Section: Childhood Absence Epilepsymentioning

confidence: 99%

ILAE definition of the Idiopathic Generalized Epilepsy Syndromes: Position statement by the ILAE Task Force on Nosology and Definitions

et al. 2022

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“…Previous studies support those statements as telemedicine consultations were successfully utilized as an important tool for epilepsy management regardless of epilepsy type, etiology, seizure frequency, comorbidities, and patients' residential areas [28] . It was also used with a success in diagnosis and managing childhood absence epilepsy [29] . Telemedicine may also provide high satisfaction and economic benefits in the future, after the pandemic [30] .…”

Section: Discussionmentioning

confidence: 99%

COVID-19 pandemic influence on epilepsy course in pediatric patients

Anuszkiewicz

Stogowski

Zawadzka

et al. 2022

Epilepsy & Behavior

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Introduction In 2020 Coronavirus Disease 2019 (COVID-19) was declared as a global pandemic. Self-reported stress, anxiety, and insomnia, which are believed to be common triggers for epilepsy, are more likely to occur. We aimed to establish the influence of COVID-19 pandemic itself so as changes in the daily life routine related to pandemic on epilepsy course in pediatric patients. The unique form of clinical care which is telemedicine was also taken into consideration. We wanted to evaluate patients' satisfaction with telemedicine and if changing stationary visits into telemedicine influenced epilepsy course in our patients. Methods Patients, who attended developmental neurology outpatient clinic in the period March-December 2020 were collected. As patients were minors, legal guardians were asked to fill out the questionnaire. Patients were divided according to the outcome into three groups: those with a worsened, stable or improved course of epilepsy during the pandemic. Appropriate statistical tests for two-group and multi-group comparisons have been implemented. Post-hoc p values were also calculated. Results 402 questionnaires were collected. Most of the patients had a stable course of epilepsy during the pandemic; in 13% of participants an improvement has been observed, worsening of the disease was seen in 16% of patients. Age, sex, type of epilepsy, number of seizure incidents before pandemic, and duration of the disease had no statistically significant connection with changes in the course of the disease. Behavioral changes and altered sleep patterns were found to be more common in the worsened group. 58% of patients were satisfied with telemedicine. Poorer satisfaction was connected with less frequent visits, cancellation of scheduled appointments, and lack of help in case of need of emergency situation. Conclusion Epilepsy course in pediatric patients seems to be stable during COVID-19 pandemic. Sleep disturbances and changes in a child's behavior may be related to increase in seizures frequency. Telemedicine is effective tool for supervising children with epilepsy. Patients should be informed about possible ways of getting help in urgent cases.

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“…Smartphone devices are now widely available and likely in close proximity of witnesses. A series during the pandemic demonstrated childhood absence could be effectively diagnosed and ultimately treated despite lack of immediate access to EEG by performing hyperventilation over telehealth [55].…”

Section: Epilepsy and Covid-19mentioning

confidence: 99%

Evaluation and Treatment of Seizures and Epilepsy During the COVID-19 Pandemic

Pellinen

Holmes

2022

Curr Neurol Neurosci Rep

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Purpose of Review Seizures, including status epilepticus, have been reported in association with acute COVID-19 infection. People with epilepsy (PWE) have suffered from seizure exacerbations during the pandemic. This article reviews the data for clinical and electrographic seizures associated with COVID-19, technical EEG considerations for reducing risk of transmission, and factors contributing to seizure exacerbations in PWE as well as strategies to address this issue. Recent Findings An increasing number of studies of larger cohorts, accounting for a variety of variables and often utilizing EEG with standardized terminology, are assessing the prevalence of seizures in hospitalized patients with acute COVID-19 infections, and gaining insight into the prevalence of seizures and their effect on outcomes. Additionally, recent studies are evaluating the effect of the pandemic on PWE, barriers faced, and the usefulness of telehealth. Summary Although there is still much to learn regarding COVID-19, current studies help in assessing the risk of seizures, guiding EEG utilization, and optimizing the use of telehealth during the pandemic.

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Diagnosing and managing childhood absence epilepsy by telemedicine

Cited by 12 publications

References 9 publications

ILAE definition of the Idiopathic Generalized Epilepsy Syndromes: Position statement by the ILAE Task Force on Nosology and Definitions

ILAE definition of the Idiopathic Generalized Epilepsy Syndromes: Position statement by the ILAE Task Force on Nosology and Definitions

COVID-19 pandemic influence on epilepsy course in pediatric patients

Evaluation and Treatment of Seizures and Epilepsy During the COVID-19 Pandemic

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