Right Frontotemporoccipital Focal Epilepsy with Behavioral and Emotional Problems

2020 ◽  
Vol 1 (1) ◽  
pp. 20-24
Author(s):  
Natalia Dewi

Miss AN, female, 17 years old, Muslim, Betawi ethnicity, graduated fromelementary school, currently no longer in school. The first febrile seizure patient wasfour years old. Five to seven years old, patients with recurrent seizures without fever,diagnosed with epilepsy and do not see a doctor regularly. At 14 years, the patient wasraped, and since then, the patient has had free sex with many different men. At the ageof,16, the patient had seizures up to five times an ay, and one seizure wasapproximately five minutes. The patient went to a neurologist and was regularly treatedwith valproic acid and carbamazepine. At the age of 17 years, the patient often gotangry when teased and threatened with knives or scissors, had free sex with many menand went to a psychiatrist. The patient has been treated five times in different mentalhospitals because he often runs away from home. Currently, the patient is being treatedin the psychiatric ward and is receiving 2 x 500 mg of valproic acid, 3 x 200 mg ofcarbamazepine, 2 x 0.5 mg of Clonazepam and 1 x 50 mg of sertraline. At the time oftreatment, the patient is known to be HIV positive and does not need ARV therapy.Patients also planned behavioural therapy and involved patients with activities atYayasan Pelita Ilmu. It is hoped that this therapy can help overcome the patient'sbehavioural and emotional problems.

PLoS ONE ◽  
2017 ◽  
Vol 12 (2) ◽  
pp. e0171971 ◽  
Author(s):  
Xian Abulizi ◽  
Laura Pryor ◽  
Grégory Michel ◽  
Maria Melchior ◽  
Judith van der Waerden ◽  
...  

2011 ◽  
Vol 26 (S2) ◽  
pp. 326-326
Author(s):  
K. Mehrotra ◽  
S. Ahamad Manzur ◽  
Y.P. Ooi ◽  
C.G. Lim ◽  
D.S.S. Fung ◽  
...  

IntroductionStudies have shown that children with learning difficulties are likely to demonstrate a host of shared behavioral and emotional problems that affect their daily functioning.Objectives/AimsThe goal of this study was to examine profiles of behavioral and emotional problems in children at risk for Learning Disorders (LD) and Communication Disorders (COMM), without intellectual disabilities.MethodData on the Child Behavior Checklist (CBCL) of 52 participants (4–12 years old) at-risk for LD and 52 age- and gender- matched participants at-risk for COMM were obtained from the archival records of a local outpatient child psychiatric clinic. For all CBCL scales, T scores ranging from 65 to 69 are in the borderline clinical range, whereas a T score of 70 and above are in the clinical range. T scores of below 65 are considered as non-clinical. For the purposes of this study, a T score of 65 and above for the CBCL syndromes indicated the problem to be of clinical concern.ResultsA total of 51.9% of these children had at least one problem of clinical concern, with Attention Problems (LD: 36.5% vs. COMM: 17.3%), Social Problems (LD: 21.2% vs. COMM: 30.8%), and Withdrawn/Depressed (LD: 23.1% vs. COMM: 26.9%) syndromes being commonly reported. There were no significant differences between the 2 groups on the CBCL syndromes.ConclusionsFindings from the study suggest that children with any form of learning difficulties demonstrate high prevalence of behavioral and emotional problems, suggesting possible comorbidities such as Attention Deficit Hyperactivity and Depression.


1996 ◽  
Vol 27 (1) ◽  
pp. 82-97 ◽  
Author(s):  
Michael Canute Lambert ◽  
Frank H. Knight ◽  
Rosemary Taylor ◽  
Thomas M. Achenbach

2021 ◽  
Vol 19 (2) ◽  
pp. 221-228
Author(s):  
Roza M. Shaimardanova ◽  
Rimma G. Gamirova

AIM: To conduct a retrospective comparative analysis of the efficacy and safety of epilepsy therapy with antiepileptic drugs. MATERIALS AND METHODS: The analysis of the treatment of 428 patients with epilepsy at the Childrens City Hospital No. 8 in Kazan, receiving antiepileptic drugs. RESULTS: It was found that valproic acid is more effective in the treatment of idiopathic generalized epilepsies compared to focal epilepsies (p = 0.0006). Valproate and carbamazepine were the most effective in the treatment of focal epilepsy with short- and long-term follow-up. Valproic acid is more effective than topiramate (p = 0.02), oxcarbazepine (p = 0.003), and levetiracetam (p = 0.003) in the treatment of focal epilepsy in short- and long-term follow-up. Carbamazepine is more effective than topiramate (p = 0.01), oxcarbazepine (p = 0.02), and levetiracetam (p = 0.001) in the treatment of focal epilepsy in long-term follow-up. It was revealed that more often they complained about side effects when using carbamazepine (63.2%). Levetiracetam was found to be better tolerated compared to valproate (p = 0.0006) and carbamazepine (p = 0.0006). Topiramate is better tolerated than carbamazepine (p = 0.02) and valproate (p = 0.03). Oxcarbazepine is better tolerated than carbamazepine in women (p = 0.04). CONCLUSIONS: When choosing an antiepileptic drug, it is necessary to be guided by the principle: first the basic, and then the drugs of the next generations, in the future, rely on information about the tolerability of the drug. It is necessary to evaluate the therapeutic effect of antiepileptic drugs with long-term observation, and use the criterion of complete absence of seizures as an indicator of the effectiveness of drugs.


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