000			nab a22 7a 4500
999			_c17439 _d17439
003			PC17439
005			20230426130121.0
008			230426b xxu||||| |||| 00| 0 eng d
040			_cH12O
041			_aspa, eng
100			_91765 _aPeña Mayor, Pilar de la _eNeurología
245	0	0	_aGuía oficial de la Sociedad Española de Neurología de práctica clínica en epilepsia. Epilepsia en situaciones especiales: comorbilidades, mujer y anciano. _h[guía clínica]
260			_bNeurología (Barcelona, Spain), _c2015
300			_a30(8):510-7.
500			_aFormato Vancouver: Mauri Llerda JA, Suller Martí A, de la Peña Mayor P, Martínez Ferri M, Poza Aldea JJ et al. Guía oficial de la Sociedad Española de Neurología de práctica clínica en epilepsia. Epilepsia en situaciones especiales: comorbilidades, mujer y anciano. Neurologia. 2015 Oct;30(8):510-7.
501			_aPMID: 25618222
504			_aContiene 28 referencias
520			_aIntroduction: The characteristics of some population groups (patients with comorbidities, women of childbearing age, the elderly) may limit epilepsy management. Antiepileptic treatment in these patients may require adjustments. Development: We searched articles in Pubmed, clinical practice guidelines for epilepsy, and recommendations by the most relevant medical societies regarding epilepsy in special situations (patients with comorbidities, women of childbearing age, the elderly). Evidence and recommendations are classified according to the prognostic criteria of Oxford Centre of Evidence-Based Medicine (2001) and the European Federation of Neurological Societies (2004) for therapeutic interventions. Conclusions: Epilepsy treatment in special cases of comorbidities must be selected properly to improve efficacy with the fewest side effects. Adjusting antiepileptic medication and/or hormone therapy is necessary for proper seizure management in catamenial epilepsy. Exposure to antiepileptic drugs (AED) during pregnancy increases the risk of birth defects and may affect fetal growth and/or cognitive development. Postpartum breastfeeding is recommended, with monitoring for adverse effects if sedative AEDs are used. Finally, the elderly are prone to epilepsy, and diagnostic and treatment characteristics in this group differ from those of other age groups. Although therapeutic limitations may be more frequent in older patients due to comorbidities, they usually respond better to lower doses of AEDs than do other age groups.
710			_9267 _aServicio de Neurología-Neurofisiología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc17439.pdf _ySolicitar documento
942			_2ddc _cGUI _n0