Epilepsy and the impact of an epileptology clinic for patients with mental retardation and associated disabilities in an institutional setting

Epilepsia

Volumn 47, Issue 12, 2006, Pages 2052-2057

  Arain, Amir ^a   Shihabuddin, Bashir ^a   Niaz, Faiz ^a   Modur, Pradeep ^a   Taylor, Henry ^b   Fakhoury, Toufic ^c   Abou Khalil, Bassel ^a  

^a VANDERBILT UNIVERSITY   (United States)

^b Tennessee Division of Mental Retardation Services   (United States)

^c UNIVERSITY OF KENTUCKY   (United States)

Author keywords

Antiepileptic medications discontinuation; Epilepsy; Mental retardation; Refractory epilepsy

Indexed keywords

ANTICONVULSIVE AGENT; CARBAMAZEPINE; CLONAZEPAM; GABAPENTIN; LAMOTRIGINE; PHENOBARBITAL; PHENYTOIN; PRIMIDONE; TIAGABINE; TOPIRAMATE; VALPROIC ACID;

ADOLESCENT; ADULT; AGED; ARTICLE; COGNITIVE DEFECT; CONTROLLED STUDY; DISABILITY; DISEASE CONTROL; DRUG DOSE REDUCTION; DRUG WITHDRAWAL; ELECTROENCEPHALOGRAM; EPILEPSY; EVALUATION AND FOLLOW UP; FEMALE; HEALTH CARE FACILITY; HUMAN; INSTITUTIONALIZATION; MAJOR CLINICAL STUDY; MALE; MENTAL DEFICIENCY; MONITORING; MONOTHERAPY; MORBIDITY; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; RECURRENT DISEASE; SEIZURE; TREATMENT RESPONSE;

ADOLESCENT; ADULT; AGED; ANTICONVULSANTS; COMORBIDITY; DISABLED PERSONS; DRUG THERAPY, COMBINATION; ELECTROENCEPHALOGRAPHY; EPILEPSY; FEMALE; FOLLOW-UP STUDIES; HUMANS; INSTITUTIONALIZATION; MAGNETIC RESONANCE IMAGING; MALE; MENTAL RETARDATION; MIDDLE AGED; SEVERITY OF ILLNESS INDEX; TREATMENT OUTCOME; VIDEOTAPE RECORDING;

EID: 33845643157     PISSN: 00139580     EISSN: 15281167     Source Type: Journal    
DOI: 10.1111/j.1528-1167.2006.00862.x     Document Type: Article

References (15)

1. Alvarez N. (1989) Discontinuance of antiepileptic medications in patients with developmental disability and diagnosis of epilepsy. American Journal of Mental Retardation 93:593-599.
2. Bowley C, Kerr M. (2000) Epilepsy and intellectual disability. Journal of Intellectual Disabilility Research 44:529-543.
3. Callaghan N, O'Dwyer R, Keating J. (1984) Unnecessary polypharmacy in patients with frequent seizures. Acta Neurologica Scandinavica 69:15-19.
4. Corbett JA. (1990) Epilepsy and mental retardation. In Dam M, Gram L (Eds.) Comprehensive epileptology. Raven Press, New York, pp. 271-280.
5. Hauser WA, Annegers J, Kurland L. (1993) Incidence of epilepsy and unprovoked seizures in Rochester, Minnesota: 1935-1984. Epilepsia 34:453-468.
6. Crews WD Jr, Bonaventura S, Rowe F. (1994) Dual diagnosis: prevalence of psychiatric disorders in a large state residential facility for individuals with mental retardation. American Journal of Mental Retardation 98:724-731.
7. Ferngren H, Akerstrom I, Rane A. (1991) Mono- or polypharmacotherapy in institutionalized epileptic children with severe mental retardation? A team approach for optimizing antiepileptic therapy. Acta Paediatricia Scandinavica 80:458-465.
8. Mariani E, Ferini-Strambi L, Sala M, Erminio C, Smirne S. (1993) Epilepsy in institutionalized patients with encephalopathy: clinical aspects and nosological considerations. American Journal of Mental Retardation 98(suppl):27-33.
9. McDermott S, Moran R, Platt T, Wood H, Isaac T, Dasari S. (2005) Prevalence of epilepsy in adults with mental retardation and related disabilities in primary care. American Journal of Mental Retardation 110:48-56.
10. Pellock JM, Hunt PA. (1996) A decade of modern epilepsy therapy in institutionalized mentally retarded patients. Epilepsy Research 25:263-268.
11. Poindexter AR, Berglund JA, Kolstoe PD. (1993) Changes in antiepileptic drug prescribing patterns in large institutions: preliminary results of a five-year experience. American Journal of Mental Retardation 98(suppl):34-40.
12. Porter RJ, Penry JD, Wolf AA. (1976) Simultaneous documentation of clinical and electroencephalographic manifestations of epileptic seizures. In Kellaway P, Peterson I (Eds.) Quantitative analytical studies in epilepsy. Raven Press, New York pp. 253-268.
13. Sutula TP, Sackellares JC, Miller JQ, Dreifuss FE. (1981) Intensive monitoring in refractory epilepsy. Neurology 31:243-247.
14. Thirumalai S, Abou-Khalil B, Fakhoury T, Suresh G. (2001) Video-EEG in the diagnosis of paroxysmal events in children with mental retardation and in children with normal intelligence. Developmental Medicine and Child Neurology 43:731-734.
15. Van den Berg BJ, Yerushalmy J. (1969) Studies on convulsive disorders in young children, I: incidence of febrile and nonfebrile convulsions by age and other factors. Pediatric Research 3:298-304.