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首页> 外文期刊>The Egyptian Journal of Neurology, Psychiatry and Neurosurgery >Silent Epilepsy Patients in Mansoura Neurology Outpatient Clinic
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Silent Epilepsy Patients in Mansoura Neurology Outpatient Clinic

机译：Mansoura神经病学门诊的沉默性癫痫患者

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Background: Epilepsy is a disease with incidence throughout life and is commonly self limited with high proportion of patients eventually enter a long term remission and stop medication. However, a lot of patients remain silent about their disease and its treatment. Objective: This study was to assess the magnitude of silent epileptic patients in Mansoura University Neurology outpatient clinic. Methods: Consecutive patients attending the clinic were subject for structured questionnaire regarding their seizures, antiepileptic drugs as a method of treatment and about their adherence to them. Results: 248 patients were recruited. Only seizure freedom was achieved in 21% of them. Non-adherence to medication by stop taking drugs in 37%, dose increase or decrease in 20% or by trying other ways to control seizure like Hegamah and reading Quran were common manifestation of patient silence. Lack of knowledge, impaired cognition and low expectation about therapy were also contributing to patient silence. Conclusion: Silent epilepsy patients are true challenge in epilepsy management that need to be addressed in neurology clinics. [Egypt J Neurol Psychiat Neurosurg.  2013; 50(4): 437-440]Key Words:  Epilepsy, Silent patients, neurology clinic Correspondence to Ebrahim Elmenshawy, Neurology Department, Mansoura University, Egypt.Tel.: +201005447704    e-mail: menshawy@mans.edu.eg.
机译：背景：癫痫病是一种终生发病的疾病，通常自我限制，高比例的患者最终进入长期缓解期并停止用药。但是，许多患者对其疾病及其治疗保持沉默。目的：本研究旨在评估曼苏拉大学神经病学门诊无声癫痫患者的数量。方法：对连续入院的患者进行结构性问卷调查，以了解其癫痫发作，抗癫痫药的治疗方法以及患者的依从性。结果：招募了248例患者。其中只有21％实现了癫痫发作的自由。通过停止服药37％，增加或减少剂量20％或尝试其他控制癫痫发作的方法（例如Hegamah和阅读《古兰经》）不坚持药物治疗是患者沉默的常见表现。缺乏知识，认知受损和对治疗的低期望也导致患者沉默。结论：沉默的癫痫患者是癫痫治疗的真正挑战，需要在神经内科诊所解决。 [埃及J Neurol精神病神经外科。 2013; 50（4）：437-440]关键词：癫痫，沉默的患者，神经内科诊所与埃及曼苏拉大学神经学系的易卜拉欣·埃尔曼沙威（Ebrahim Elmenshawy）对应，电话：+201005447704电子邮件：menshawy@mans.edu.eg。

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