Adult occipital lobe epilepsy: 12-years on.
Heather Angus-LeppanThomas A ClayPublished in: Journal of neurology (2021)
Adult OLE accounted for 7.7% of focal epilepsies in this cohort, misdiagnosed or misclassified in 40%. Most patients had co-existing migraine. A minority had migralepsy characterised by a longer aura and good prognosis. Remission rates were lower than that of childhood OLE and general adult epilepsy populations, strengthening the argument for considering epilepsy surgery in drug-resistant OLE patients with a structural cause. Precision medicine will potentially refine diagnosis and management in those OLE patients without an identified cause but is predicated on accurate clinical phenotyping.
Keyphrases
- drug resistant
- end stage renal disease
- ejection fraction
- newly diagnosed
- multidrug resistant
- peritoneal dialysis
- prognostic factors
- minimally invasive
- rheumatoid arthritis
- coronary artery disease
- patient reported outcomes
- childhood cancer
- pseudomonas aeruginosa
- mass spectrometry
- systemic lupus erythematosus
- high resolution
- cystic fibrosis
- disease activity
- patient reported
- percutaneous coronary intervention
- atrial fibrillation
- temporal lobe epilepsy
- surgical site infection