Health-related quality of life of people with epilepsy compared with a general reference population: a Tunisian study.

Abstract:

PURPOSE:The goal of the study was to assess the health-related quality of life (HRQOL) of persons with epilepsy (PWE) by using the short form survey 36 (SF-36), to compare it with that of a control group and to detect factors influencing it. METHODS:We collected clinical and demographic data and information on health status by using the Arabic translation of the SF-36 questionnaire from two groups: (a) 120 PWE consulting our outpatient clinic during a period of 4 months, and (b) 110 Tunisian citizens, representative of the Tunisian general population, as a control group. RESULTS:The mean age of PWE group was 32.74 years, and 45.5% were men. Idiopathic generalized epilepsies were observed in 44.5% of cases, and symptomatic partial epilepsies, in 30%. The most commonly prescribed drug was sodium valproate (VPA). For the SF-36, PWE had lower scores than the control group for only three subscales: general health perception, mental health, and social functioning. Seizure frequency, time since last seizure, and the antiepileptic drug (AED) side effects were the most important variables influencing the HRQOL among PWE. Seizure-free adults have HRQOL levels comparable to those of the control group. Sociodemographic variables had no influence on the SF-36 subscales. CONCLUSIONS:HRQOL is impaired in Tunisian PWE. The influencing factors identified in this study differ from the previously published data. Several possible reasons such as family support and cultural and religious beliefs are proposed to explain these cross-cultural differences. A larger study should be conducted to verify such findings.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Mrabet H,Mrabet A,Zouari B,Ghachem R

doi

10.1111/j.0013-9580.2004.56903.x

subject

Has Abstract

pub_date

2004-07-01 00:00:00

pages

838-43

issue

7

eissn

0013-9580

issn

1528-1167

pii

EPI56903

journal_volume

45

pub_type

杂志文章
  • Prognosis of epilepsy in newly referred patients: a multicenter prospective study. Collaborative Group for the Study of Epilepsy.

    abstract::A multicenter prospective study was initiated at the time of first antiepileptic treatment for afebrile seizures with 283 unselected patients in Italy. Each patient started with monotherapy at standard daily doses. Data were collected at admission, at scheduled 6-month exams, and at unscheduled exams and included age,...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1988.tb03712.x

    authors: Beghi E,Tognoni G

    更新日期:1988-05-01 00:00:00

  • Febrile seizures: clinical characteristics and initial EEG.

    abstract::We examined the relationship between clinical characteristics and EEG classification in all children with febrile seizures examined at the University Pediatric Clinic, Skopje, Yugoslavia between 1982 and 1984. This is the only facility in Macedonia providing EEG or neurologic consultation for children. EEGs were class...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1992.tb02282.x

    authors: Sofijanov N,Emoto S,Kuturec M,Dukovski M,Duma F,Ellenberg JH,Hirtz DG,Nelson KB

    更新日期:1992-01-01 00:00:00

  • Comprehensive care of the epilepsy patient--control, comorbidity, and cost.

    abstract::Traditionally, control of seizures in patients with epilepsy is viewed as the most important clinical outcome. Yet, current antiepileptic drugs (AEDs) do not always achieve this. Around 30-40% of patients remain uncontrolled despite pharmacological intervention. Poor tolerability of AEDs is a large part of the problem...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.0013-9580.2004.455002.x

    authors: Bazil CW

    更新日期:2004-01-01 00:00:00

  • Postmarketing experience with topiramate and cognition.

    abstract::Ideal antiepileptic drugs (AEDs) are designed to stop seizures with limited central nervous system (CNS) side effects. However, CNS-related treatment-emergent adverse events (TEAEs) often occur in patients receiving AEDs. Topiramate (TPM) is an AED proven to be safe and effective as adjunctive treatment for epilepsy p...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2001.41700.x

    authors: Tatum WO 4th,French JA,Faught E,Morris GL 3rd,Liporace J,Kanner A,Goff SL,Winters L,Fix A,PADS Investigators. Post-marketing antiepileptic drug survey.

    更新日期:2001-09-01 00:00:00

  • Subcortical (thalamic) automated seizure detection: A new option for contingent therapy delivery.

    abstract::The feasibility of automated detection of cortical-onset epileptic seizures from subcortical structures such as the thalamus was investigated via simultaneous recording of electroencephalography (EEG) and anterior and centromedian thalamic nuclei electrical signals (electrothalamography) in nine subjects with pharmaco...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13124

    authors: Osorio I,Frei MG,Lozano AM,Wennberg R

    更新日期:2015-10-01 00:00:00

  • Effects of antiepileptic drugs on sperm motility of normal controls and epileptic patients with long-term therapy.

    abstract::The in vitro effects of four antiepileptic drugs (AEDs) on human sperm motility were studied with a transmembrane migration method. Sperm motility of epileptic patients receiving chronic AED therapy was also investigated. Sperm motility was measured immediately after semen had been mixed with AED and after a 2-h prein...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1992.tb02298.x

    authors: Chen SS,Shen MR,Chen TJ,Lai SL

    更新日期:1992-01-01 00:00:00

  • Effects of hippocampal afterdischarges on Purkinje cell activity.

    abstract::Hippocampal afterdischarges can induce increased Purkinje cell activity that characteristically shows a pronounced acceleration during the period of the afterdischarges. Increased Purkinje cell activity may continue for many seconds after termination of the hippocampal activity. Typical frequency histograms are presen...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1975.tb06053.x

    authors: Mitra J,Snider RS

    更新日期:1975-06-01 00:00:00

  • Adenosine A1 receptor-mediated suppression of carbamazepine-resistant seizure-like events in human neocortical slices.

    abstract:OBJECTIVE:The need for alternative pharmacologic strategies in treatment of epilepsies is pressing for about 30% of patients with epilepsy who do not experience satisfactory seizure control with present treatments. In temporal lobe epilepsy (TLE) even up to 80% of patients are pharmacoresistant, and surgical resection ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13360

    authors: Klaft ZJ,Hollnagel JO,Salar S,Calişkan G,Schulz SB,Schneider UC,Horn P,Koch A,Holtkamp M,Gabriel S,Gerevich Z,Heinemann U

    更新日期:2016-05-01 00:00:00

  • Levetiracetam, a new antiepileptic agent: lack of in vitro and in vivo pharmacokinetic interaction with valproic acid.

    abstract:PURPOSE:The novel antiepileptic drug (AED) levetiracetam (LEV; Keppra) has a wide therapeutic index and pharmacokinetic characteristics predicting limited drug-interaction potential. It is indicated as an add-on treatment in patients with epilepsy, and thus coadministration with valproic acid (VPA) is likely. These stu...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章

    doi:10.1046/j.1528-1157.2003.25302.x

    authors: Coupez R,Nicolas JM,Browne TR

    更新日期:2003-02-01 00:00:00

  • Neurodevelopment in seizure-prone and seizure-resistant rat strains: recognizing conflicts in management.

    abstract::Cytoarchitectural alterations during central nervous system (CNS) development are believed to underlie aberrations in brain morphology that lead to epilepsy. We have recently reported marked reductions in hippocampal and white matter volumes along with relative ventriculomegaly in a rat strain bred to be seizure-prone...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2007.01298.x

    authors: Gilby KL,Crino P,McIntyre DC

    更新日期:2007-01-01 00:00:00

  • Human hippocampal seizure spread studied by depth and subdural recording: the hippocampal commissure.

    abstract::Eleven patients had seizures with unilateral temporal lobe onset recorded with simultaneous bilateral medial temporal depth electrodes and neocortical (subdural) electrodes at least on the side of seizure onset. Of a total of 55 seizures, four had simultaneous onset in neocortex and hippocampus, and 51 had onset in un...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1987.tb03676.x

    authors: Spencer SS,Williamson PD,Spencer DD,Mattson RH

    更新日期:1987-09-01 00:00:00

  • Vigabatrin pediatric dosing information for refractory complex partial seizures: results from a population dose-response analysis.

    abstract::We predicted vigabatrin dosages for adjunctive therapy for pediatric patients with refractory complex partial seizures (rCPS) that would produce efficacy comparable to that observed for approved adult dosages. A dose-response model related seizure-count data to vigabatrin dosage to identify dosages for pediatric rCPS ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12825

    authors: Nielsen JC,Tolbert D,Patel M,Kowalski KG,Wesche DL

    更新日期:2014-12-01 00:00:00

  • Effects of temporal lobe epilepsy on retrograde memory.

    abstract:PURPOSE:In a previous investigation (Lah et al., 2004), we found deficits in retrograde memory in patients who had undergone temporal lobectomy (TL). In this study, we set out to determine whether such deficits are present before surgery in patients with temporal lobe epilepsy (TLE). METHODS:Memory for public and auto...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00476.x

    authors: Lah S,Lee T,Grayson S,Miller L

    更新日期:2006-03-01 00:00:00

  • Neurocognitive profiles in children with epilepsy.

    abstract:PURPOSE:The presence of specific neurocognitive deficits may help explain why school achievement and psychosocial functioning are often worse in children with epilepsy than would be predicted by their global intellectual functioning. This study compared children with two forms of epilepsy: localization-related epilepsy...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03706.x

    authors: Kernan CL,Asarnow R,Siddarth P,Gurbani S,Lanphier EK,Sankar R,Caplan R

    更新日期:2012-12-01 00:00:00

  • Abnormal cortical cells and astrocytomas in the Eker rat model of tuberous sclerosis complex.

    abstract:PURPOSE:In patients with tuberous sclerosis complex (TSC), a wide range of neurologic abnormalities develop, including mental retardation and seizures. Brains from TSC patients are characterized by the presence of cortical tubers, large dysmorphic neurons, and abnormal cytomegalic cells. Although analysis of human TSC ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.23004.x

    authors: Takahashi DK,Dinday MT,Barbaro NM,Baraban SC

    更新日期:2004-12-01 00:00:00

  • Screening for major depression in epilepsy with common self-report depression inventories.

    abstract:PURPOSE:Major depression is a common psychiatric comorbidity in chronic epilepsy that is frequently unrecognized and untreated. A variety of self-report mood inventories are available, but their validity as well as ability to detect major depression in epilepsy remains uncertain. The purpose of this study was to determ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2005.49704.x

    authors: Jones JE,Hermann BP,Woodard JL,Barry JJ,Gilliam F,Kanner AM,Meador KJ

    更新日期:2005-05-01 00:00:00

  • Magnetic resonance imaging in animal models of epilepsy-noninvasive detection of structural alterations.

    abstract::Small animal magnetic resonance imaging (MRI) has opened a window through which brain abnormalities can be observed over time in rodents noninvasively. We review MRI studies done during epileptogenesis triggered by status epilepticus in rat. Most of these studies have used quantitative T2, diffusion, and/or volumetric...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2007.01236.x

    authors: Gröhn O,Pitkänen A

    更新日期:2007-01-01 00:00:00

  • Amygdala kindling in the classical conditioning paradigm.

    abstract::The hypothesis was tested that epileptiform alterations of brain excitability may be elicited by a conditioning stimulus (CS) in a classical conditioning paradigm. Fifteen male albino rats were chronically implanted with electrodes in the amygdala and over the visual cortex. A train of six stroboscopic flashes served ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1983.tb04890.x

    authors: Myslobodsky MS,Mintz M,Lerner T,Mostofsky DI

    更新日期:1983-06-01 00:00:00

  • Morbidity in patients with epilepsy: type and complications: a European cohort study.

    abstract:PURPOSE:To investigate the risk of illnesses in a cohort of patients with epilepsy and in matched nonepilepsy controls, by type and complications. METHODS:A total of 951 children and adults with idiopathic, cryptogenic, or remote symptomatic epilepsy and 904 matched controls seen in secondary and tertiary centers in e...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.0013-9580.2004.33803.x

    authors: van den Broek M,Beghi E,RESt-1 Group.

    更新日期:2004-01-01 00:00:00

  • Short-term plasticity of hippocampal neuropeptides and neuronal circuitry in experimental status epilepticus.

    abstract:PURPOSE:We used a model of self-staining status epilepticus (SSSE), induced by brief intermittent stimulation of the perforant path in unanesthetized rats, to study the mechanism of initiation and of maintenance of SSSE and the role of neuropeptides in those processes. METHODS:The perforant path was stimulated intermi...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1046/j.1528-1157.43.s.5.1.x

    authors: Wasterlain CG,Mazarati AM,Naylor D,Niquet J,Liu H,Suchomelova L,Baldwin R,Katsumori H,Shirasaka Y,Shin D,Sankar R

    更新日期:2002-01-01 00:00:00

  • Benign epilepsy of children with centrotemporal EEG foci: a follow-up study in adulthood of patients initially studied as children.

    abstract::A group of patients with benign epilepsy of children with centrotemporal EEG foci, consisting of 40 patients reported 10 years ago, has been reinvestigated. Thirty-seven of these patients were reinvestigated. They were 26-34 years old (mean, 29 years). The observation time from the first seizure was 13-27 years (mean,...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1982.tb05078.x

    authors: Blom S,Heijbel J

    更新日期:1982-12-01 00:00:00

  • Ictal hyperperfusion patterns in relation to ictal scalp EEG patterns in patients with unilateral hippocampal sclerosis: a SPECT study.

    abstract:PURPOSE:The aims of the present study were to explore the relation between ictal scalp EEG patterns and ictal hyperperfusion patterns in patients with unilateral hippocampal sclerosis-associated mesial temporal lobe epilepsy (HS-MTLE) by using semiquantitative single-photon emission computed tomography (SPECT) analysis...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00847.x

    authors: Kim JH,Im KC,Kim JS,Lee SA,Lee JK,Khang SK,Kang JK

    更新日期:2007-02-01 00:00:00

  • Role of the superior colliculus in the expression of acute and kindled audiogenic seizures in Wistar audiogenic rats.

    abstract:PURPOSE:The role of the superior colliculus (SC) in seizure expression is controversial and appears to be dependent upon the epilepsy model. This study shows the effect of disconnection between SC deep layers and adjacent tissues in the expression of acute and kindling seizures. METHODS:Subcollicular transections, abl...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2009.02164.x

    authors: Doretto MC,Cortes-de-Oliveira JA,Rossetti F,Garcia-Cairasco N

    更新日期:2009-12-01 00:00:00

  • The epidemiology and treatment of chronic and refractory epilepsy.

    abstract::In developed countries, the incidence of epilepsy is 50-100 cases per 100,000 population per year and the prevalence is approximately 5 to 8 cases per 1,000 population. Epilepsy is by far the most prevalent serious neurologic condition. Mortality rates in epilepsy are two to four times those found in matched nonepilep...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1996.tb06027.x

    authors: Shorvon SD

    更新日期:1996-01-01 00:00:00

  • Ketogenic diet exhibits neuroprotective effects in hippocampus but fails to prevent epileptogenesis in the lithium-pilocarpine model of mesial temporal lobe epilepsy in adult rats.

    abstract:PURPOSE:Although the number of antiepileptic drugs (AEDs) is increasing, none displays neuroprotective or antiepileptogenic properties that could prevent status epilepticus (SE)-induced drug-resistant epilepsy. Ketogenic diet (KD) and calorie restriction (CR) are proposed as alternative treatments in epilepsy. Our goal...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2010.02667.x

    authors: Linard B,Ferrandon A,Koning E,Nehlig A,Raffo E

    更新日期:2010-09-01 00:00:00

  • Temporal lobe epilepsy surgery and the quest for optimal extent of resection: a review.

    abstract::The efficacy of surgery to treat drug-resistant temporal lobe epilepsy (TLE) has been demonstrated in a prospective randomized trial. It remains controversial which resection method gives best results for seizure freedom and neuropsychological function. This review of 53 studies addressing extent of resection in surge...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2008.01604.x

    authors: Schramm J

    更新日期:2008-08-01 00:00:00

  • The natural history of untreated epilepsy in a rural community in Africa.

    abstract::The duration of epilepsy was evaluated in over 460 previously untreated patients who attended newly established epilepsy clinics in a rural area of Malawi. The mean duration at first attendance was 6.5 years. It was found that as the duration of active epilepsy increased, the number of patients having epilepsy of a gi...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1992.tb01692.x

    authors: Watts AE

    更新日期:1992-05-01 00:00:00

  • Mechanisms of status epilepticus: α-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor hypothesis.

    abstract::Prolonged seizures of status epilepticus (SE) result from failure of mechanisms of seizure termination or activation of mechanisms that sustain seizures. Reduced γ-aminobutyric acid type A receptor-mediated synaptic transmission contributes to impairment of seizure termination. However, mechanisms that sustain prolong...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.14482

    authors: Joshi S,Kapur J

    更新日期:2018-10-01 00:00:00

  • Lateralization of mesial temporal lobe epilepsy with chronic ambulatory electrocorticography.

    abstract:OBJECTIVE:Patients with suspected mesial temporal lobe (MTL) epilepsy typically undergo inpatient video-electroencephalography (EEG) monitoring with scalp and/or intracranial electrodes for 1 to 2 weeks to localize and lateralize the seizure focus or foci. Chronic ambulatory electrocorticography (ECoG) in patients with...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13010

    authors: King-Stephens D,Mirro E,Weber PB,Laxer KD,Van Ness PC,Salanova V,Spencer DC,Heck CN,Goldman A,Jobst B,Shields DC,Bergey GK,Eisenschenk S,Worrell GA,Rossi MA,Gross RE,Cole AJ,Sperling MR,Nair DR,Gwinn RP,Park YD,

    更新日期:2015-06-01 00:00:00

  • Relationships between seizure severity and health-related quality of life in refractory localization-related epilepsy.

    abstract:PURPOSE:To evaluate relationships between self-report measures of seizure severity and health-related quality of life (HRQOL) in people with refractory localization-related epilepsy. METHODS:A sample of 340 adults enrolled in a seven-center, prospective study of resective epilepsy surgery completed baseline questionna...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1111/j.1528-1157.2000.tb00239.x

    authors: Vickrey BG,Berg AT,Sperling MR,Shinnar S,Langfitt JT,Bazil CW,Walczak TS,Pacia S,Kim S,Spencer SS

    更新日期:2000-06-01 00:00:00