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http://www.semanticweb.org/rjyy/ontologies/2015/5/ESSO#Prognosis |
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Bancaud 1981 Prognosis ILAE 1989 Prognosis Excellent or good: Therapy Response (Controlled by treatment) Poor: resistance to therapy, seizure intractability Severe Course Variable Recurrence Mental Deterioration (massively progressive, fast, slow) Neuropsychologic Disorders Spontaneous remission Recovery Survival (years) Death Engel 2001 Bengin epilepsy syndrome: A syndrome characterized by epileptic seizures that are easily treated, require no treatment, remit without sequelae Prognostic Blume 2003 "Growing out of it" Fetal distress or death Innocuous to fetus During pregnancy (increase, decrease, unchanged) Poor preconception seizure control predicts incomplete control in pregnancy Uncontrolled (seniors): fall may fracture hip, create subdural hematomas, crush vertebra, back pain SIGN 2006 Prognosis SUDEP: sudden unexpected death in epilepsy due to underlying neurological impairment and less so underlying epilepsy, seizure-related accidents, status epileptics Families should be advised if the child has an increased risk of SUDEP. They can be reassured if the risk is considered to be low Engel 2006 The intention is that the seizure-type diagnosis will have implications with respect to etiology, approaches to diagnostic evaluation, treatment and prognosis. progressive nature Berg 2010: Epileptic encephalopathy: the epileptic activity itself may contribute to severe cognitive and behavioral impairments above and beyond what might be expected from the underlying pathology alone and that these can worsen over time. They tend to be Pharmacoresistant. "Pharmacoresponsive"=diagnosis of one of the syndromes allows, within a reasonable certainty, the prediction that the seizure will rapidly come under control with appropriate medication "cause is no longer equated with prognosis" poor prognosis Diagnosis often has implications for treatment, management, prognosis "self limited" |
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