Clinical management of a man with complex partial seizures and a severe head injury.
A case history of a man with complex partial seizures resulting from a severe head injury following a road traffic accident is presented. Details of medical intervention and neuropsychological assessment are also presented and discussed, highlighting the difficulties of balancing therapeutic doses of anticonvulsant medication with cognitive functioning adequate to maintain expected quality of life. An interesting finding revealed that the patient's blood-sodium levels increased rather than decreased with rising doses of anticonvulsant medication.
Rehabilitation Day Hospital, Astley Ainslie Hospital, Edinburgh, UK.
S B
SB
Thompson
N
N
North
B
B
Pentland
D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D002220:Carbamazepine / Q000627:therapeutic use; D004305:Dose-Response Relationship, Drug; D017029:Epilepsy, Complex Partial / Q000523:psychology / Q000534:rehabilitation*; D004834:Epilepsy, Post-Traumatic / Q000523:psychology / Q000534:rehabilitation*; D005500:Follow-Up Studies; D016489:Head Injuries, Closed / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000523:psychology / Q000534:rehabilitation; D009483:Neuropsychological Tests
D000927:Anticonvulsants; D002220:Carbamazepine