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From the Editor (provided as webpage)
John H. McVicker, MD, FACS

Issues in the Treatment of Epilepsy
Barbara Lynne Phillip, MD

Epilepsy is one of the most common neurologic conditions with an incidence of about 80 per 100,000 cases per year. Another 20 per 100,000 cases per year may have a single isolated seizure. Seizures can be classified as either partial or generalized. Differential diagnosis is critical as different treatments are
available for the different seizure types and other conditions are frequently mistaken for seizures.

Women’s Issues in Epilepsy
Kirsten Bracht, MD

Women with epilepsy face unique medical concerns when facing treatment with antiepileptic drugs. Medications may affect fertility, sexuality, contraception, pregnancy outcome, and long-term bone health. Menopause and hormone replacement therapy can also be influenced by AED’s. An awareness of these issues is essential when caring for women with epilepsy.

Imaging of Patients with Epilepsy
Peter E. Ricci, MD

Review of the roles of conventional computed tomography and magnetic resonance imaging in patients with epilepsy. Examination of the roles of fluorodeoxyglucose positron emission tomography in epilepsy patients. Introduce magnetic resonance spectroscopy and discuss its potential role in seizure imaging.

All The Glitters is Not Gold: Clinical Perspectives on Psychologic Seizures
Jay Schneiders, PhD

For the typical practicing neurologist or other physician who deals regularly with neurological conditions, nonepileptic psychogenic seizures (PNES) are perhaps most often encountered as something of a hidden syndrome. However, if the syndrome is often hidden, the symptoms of the disorder and their manifold repercussions are not. Frustrating, seemingly refractory patients who do not respond as expected to reasonable
medication regimens, angry and confused families, and enormous costs in terms of time and energy for all involved (including the patient, who then goes without appropriate treatment) are quite typical and ordinary sequelae of PNES.

Living with Epilepsy
Peggy Hugger, RN

Any chronic medical condition makes life more complicated, and epilepsy is no exception. People with epilepsy often have to live with the possibility of sudden, unpredictable interruptions of their activities. They may have memory loss or even become injured as a result. A number of techniques are available to help maintain control over one’s life and treatment.

Go to the CNI Epilepsy Center website

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