Medical care of epilepsy faces to brain function

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  • 脳機能をみつめるてんかん診療
  • ノウ キノウ オ ミツメル テンカン シンリョウ

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Abstract

<p>　　Anytime, medical care of epilepsy faces to brain function.　Based on seizure semiology and findings of electroencephalography, we search for the excitable brain region and symptomatogenic zone in order to classify the seizure.　Whether patient has impairment of consciousness during seizure is important not only for seizure classification but also patient’s social activity.　Antiepileptic drugs are chosen based on epilepsy classification and the cause of epilepsy.　Thirty to 40% of epilepsy patients are intractable against medication, which leads to increasing dose of antiepileptic drugs and induces brain dysfunction.　As for intractable epilepsy, epilepsy surgery is considered.　Best candidate for epilepsy surgery is medial temporal lobe epilepsy.　There are memory problems before and after surgery in medial temporal lobe epilepsy.　MRI negative neocortical epilepsy fails to poor outcome after epilepsy surgery, especially when the epileptogenic zone is estimated over eloquent area.　Epilepsy patients feel difficulty not only from seizure itself.　Stigma, brain dysfunction and inadequate therapy lead them to tragic life.　To do the best and comprehensive medical care for epilepsy patients is important.　This article introduces actual medical care facing to brain function with several epilepsy case presentations.</p>

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