|
Recent advances in the diagnosis and management
of epilepsy
GCY Fong, JKY Fong
Division of Neurology, Department of Medicine, The University of
Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong
Epilepsy is the second most common neurological
disorder in developed countries. Recent advances in the understanding
of pathogenetic mechanisms and in the diagnosis and management of
epilepsy over the past decade have had a significant impact on every
aspect of epilepsy management. A simple diagnosis is inadequate
for both patients and physicians. A full diagnostic investigation
to classify the type of epilepsy is now mandatory for appropriate
care. In this review, current views on pathogenetic mechanisms,
controversies in classification, advances in neuroimaging techniques,
the use of novel antiepileptic drugs, and non-pharmacological treatment
options for intractable epilepsy will be discussed.
Hong Kong Med J 2001;7:73-84
Key words: Epilepsy/classification; Epilepsy/diagnosis;
Treatment
|
