Faculty Opinions recommendation of UK registry of high-risk obstetric anaesthesia: report on neurological disease.

2010 ◽  
Author(s):  
Bernard Wittels
Keyword(s):  
High Risk ◽  
Neurological Disease ◽  
Obstetric Anaesthesia

Neurological disease

2016 ◽  
Author(s):  
James Griffiths ◽  
Kate Drummond
Keyword(s):  
Central Nervous System ◽  
Neurological Disease ◽  
Maternal Morbidity ◽  
Neurological Diseases ◽  
Well Being ◽  
Maternal Deaths ◽  
Obstetric Anaesthesia ◽  
Maternal Morbidity And Mortality ◽  
The Central Nervous System ◽  
Neurological Conditions

This chapter predominantly focuses on the provision of obstetric anaesthesia and analgesia for the parturient with neurological disease. Diseases of the central nervous system are an important cause of maternal morbidity and mortality. Maternal deaths may occur from such conditions as subarachnoid haemorrhage, intracerebral haemorrhage, thrombosis, and epilepsy. Neurological disease may impact on maternal well-being during pregnancy and pregnancy has the potential to exacerbate many neurological diseases. Many neurological conditions also have important implications for the safe conduct of neuraxial anaesthesia and analgesia, such as spina bifida and hydrocephalus. Management of these conditions may require care to be coordinated by a multidisciplinary team including the obstetrician, neurologist, neurosurgeon, and anaesthetist.

Epilepsy

2020 ◽  
pp. 313-330
Author(s):  
Ettore Beghi ◽  
Giorgia Giussani ◽  
Torbjorn Tomson
Keyword(s):  
High Risk ◽  
Neurological Disease ◽  
Premature Mortality ◽  
The Elderly ◽  
Epidemiological Studies ◽  
Standardized Mortality Ratio ◽  
Worldwide Distribution ◽  
Prolonged Seizure ◽  
Mortality Ratio

Epilepsy is a chronic neurological disease affecting both sexes and all ages with worldwide distribution and peaks in children and the elderly. The pooled incidence of epilepsy is 61.4/100,000/year, with peaks in LMICs; the point prevalence is 6.4/1000 and the lifetime prevalence 7.6/1000. A documented aetiology is present in about one-half of cases. The overall prognosis is mostly favourable, with 55–68% of cases achieving prolonged seizure remission. Mortality ranges from 1 to 8 per 100,000/year, with a standardized mortality ratio of 1.3–6.0. Since 1990, a significant decrease of persisting disability and premature mortality has been observed, while age-standardized prevalence remained stable. Despite the decrease in the burden, epilepsy is still an important cause of disability and mortality. Future epidemiological studies will be affected by the new definition (now including people with a single seizure at high risk of recurrence) and the classification of seizures and epilepsy.

A Community Based High Risk Register for Hearing Loss

1982 ◽  
Vol 47 (4) ◽  
pp. 373-375 ◽  
Author(s):  
James L. Fitch ◽  
Thomas F. Williams ◽  
Josephine E. Etienne
Keyword(s):  
Hearing Loss ◽  
System Identification ◽  
High Risk ◽  
Language Learning ◽  
Education Program ◽  
Communication System ◽  
Auditory Signal ◽  
Early Age ◽  
Community Based ◽  
Children With Hearing Loss

The critical need to identify children with hearing loss and provide treatment at the earliest possible age has become increasingly apparent in recent years (Northern & Downs, 1978). Reduction of the auditory signal during the critical language-learning period can severely limit the child's potential for developing a complete, effective communication system. Identification and treatment of children having handicapping conditions at an early age has gained impetus through the Handicapped Children's Early Education Program (HCEEP) projects funded by the Bureau of Education for the Handicapped (BEH).

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