Tuesday, 23 August 2011

At the conclusion must also emphasize ...

At the conclusion must also emphasize ...

Finally, to further emphasize that in determining the strategy of therapy of epilepsy in adolescence, it is important to take into account the main trends in the clinic and the flow associated with age pathomorphism (or evolutionary dynamics). In addition, our positions coincide with a number of publications of researchers - Charles, VA, Petrukhin AS, Mukhin, KJ, Kalinina LV, Bourgeois B., Glauser T. and others. So, for the forms of the disease, debuted symptoms of child absans, epilepsy, and juvenile absansnoy epilepsy, during the transformation of the clinic with the accession of generalized seizures are preferably mono-or biterapiya valproate with Lamiktala with the addition in cases of insufficient effectiveness of benzodiazepines. When openings of the disease with isolated generalized seizures, with their further transformation into absansnye forms, as well as in the case of accession myoclonic seizures - shows the combination Lamiktala with carbamazepine. In epilepsy, myoclonic seizures, debuted in the accessions of generalized convulsive, preferably with a combination of Lamiktala valproates. Success is a combination of Lamiktala with carbamazepine in the evolution of some forms of childhood epilepsy in the direction joining the partial seizures. Conclusions 1. Along with proper evolutive dynamics at the clinic for epilepsy in adolescents and young people affected by such relevant factors as therapy, among which the inefficiency and a higher risk of mental underdevelopment and other forms of behavioral disorders, there is a direct connection. Of particular importance in these forms and the process of socialization, with characteristic for adolescent psychological problems in general, and individual reactions to the fact of the disease (ie, internal picture of disease) in particular. 2. In this regard, increasing the role of therapy not only for achieving control seizures and prevent chronification disease, but also to the prevention of various forms of mental abnormalities. 3. The study showed that the main forms of comorbid mental disorders in our patients adolescence and adolescence are cognitive. Personality and affective disorders, acting as monosimptomov or in the structure of more complex psychopathological syndromes, are reflected in some patients in the deviant (asocial) behaviors. 4. Among other modern anticonvulsants Lamiktal as broad-spectrum drugs, and safe to use, showed high efficacy in the treatment of adolescent patients with epilepsy, both in the monotherapy and adjunctive therapy with other anticonvulsants. In this case, not only the antiepileptic effect, but normotimicheskie properties Lamiktala be attributed to the number of contributing to a more full mental functioning. References: 1. Karlov VA, Petrukhin AS "Epilepsy in adolescents," J. Neurology and Psychiatry, Moscow, № 9, 2002, p.9-13. 2.

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