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Anticipatory anxiety of seizures in epilepsy: A common, complex, and underrecognized phenomenon?
Kanner, Andres M; Carrazana, Enrique; Munger Clary, Heidi M; Rabinowicz, Adrian L; Faught, Edward.
Afiliación
  • Kanner AM; Comprehensive Epilepsy Center, University of Miami Miller School of Medicine, Miami, Florida, USA.
  • Carrazana E; Neurelis, Inc., San Diego, California, USA.
  • Munger Clary HM; John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA.
  • Rabinowicz AL; Department of Neurology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
  • Faught E; Neurelis, Inc., San Diego, California, USA.
Epileptic Disord ; 26(3): 273-281, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38624139
ABSTRACT
The diagnosis of epilepsy is associated with loss of predictability, which invariably results in the fear of when and if future seizures will occur. For a subset of patients with epilepsy (PWE), there may be a pathological persistent fear of seizure occurrence, resulting in limitations to daily activities through avoidant behaviors. Paradoxically, the research of anticipatory anxiety of seizures (AAS; also referred to as seizure phobia) has been practically nonexistent and, not surprisingly, this condition remains underrecognized by clinicians. The available data are derived from three small case series of patients followed in tertiary epilepsy centers. In this study, we review the available data on the reported clinical manifestations of AAS in PWE, and of the potential role of variables associated with it, such as personal and family psychosocial and psychiatric history and epilepsy-related variables. In addition, we review the need for the creation of screening tools to identify patients at risk of AAS and discuss potential treatment strategies, which could be considered as part of the comprehensive management for PWE.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ansiedad / Convulsiones / Epilepsia Límite: Humans Idioma: En Revista: Epileptic Disord Asunto de la revista: CEREBRO / NEUROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ansiedad / Convulsiones / Epilepsia Límite: Humans Idioma: En Revista: Epileptic Disord Asunto de la revista: CEREBRO / NEUROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos