Tratamiento de la epilepsia
ISSN: 0304-5412
Année de publication: 2019
Titre de la publication: Enfermedades del sistema nervioso (III) Patología del sueño. Epilepsia
Serie: 12
Número: 72
Pages: 4232-4242
Type: Article
D'autres publications dans: Medicine: Programa de Formación Médica Continuada Acreditado
Résumé
Resumen La epilepsia es un proceso crónico caracterizado por crisis recurrentes. Estas crisis son disruptivas para el paciente, entre otras causas por un aumento en el índice de mortalidad si no se obtiene su control. El tratamiento se suele iniciar después de al menos dos crisis, pero la decisión debe ser individualizada en base al riesgo de recurrencia, siendo el objetivo el control de las crisis y mantener la calidad de vida del paciente, por lo que la elección del fármaco es crucial. El paciente debe ser instruido sobre su enfermedad desde el principio, así como en las revisiones sucesivas en las que se comprueba el control de las crisis y la tolerancia a la medicación. En algunos pacientes en situación de epilepsia inactiva después de años sin crisis, se puede plantear retirar la medicación, valorando de nuevo el riesgo de recaída y el deseo del paciente.
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