Nakken K O, Lossius R
Statens senter for epilepsi, Sandvika.
Tidsskr Nor Laegeforen. 1993 Sep 10;113(21):2690-2.
The authors describe a prospective study on seizure-related injuries in Norway's two nursing homes for persons with epilepsy. 62 multihandicapped patients, most of them with a form of epilepsy that is difficult to treat, were assessed for 13 months. A total of 6,889 seizures, 2,696 with ensuing falls, resulted in 80 injuries. This gives a seizure-related injury risk of 1.2%. Only six serious injuries were recorded. The types of seizures most often causing the injuries were atonic and tonic-clonic seizures. Prophylactic measures are discussed. Since the risk of injury was found to be small, we conclude that even people with refractory epilepsy should be encouraged to live active lives.
作者描述了一项针对挪威两家癫痫患者疗养院中与癫痫发作相关损伤的前瞻性研究。对62名多重残疾患者进行了为期13个月的评估，其中大多数患有难以治疗的癫痫症。总共发生了6889次癫痫发作，其中2696次发作后伴有跌倒，导致80人受伤。这使得与癫痫发作相关的受伤风险为1.2%。仅记录到6例重伤。最常导致受伤的癫痫发作类型是失张力性发作和强直阵挛性发作。文中讨论了预防措施。由于发现受伤风险较小，我们得出结论，即使是难治性癫痫患者也应被鼓励积极生活。
