Seizure occurrence

@article{Haut2007SeizureO,
  title={Seizure occurrence},
  author={Sheryl R. Haut and Charles B. Hall and J Masur and Richard B. Lipton},
  journal={Neurology},
  year={2007},
  volume={69},
  pages={1905 - 1910}
}
Objective: To explore the relationship of seizure occurrence with candidate seizure precipitants in a prospective diary study, and to determine the relationship of precipitants to seizure self-prediction. Methods: Eligible subjects were 18 or older, had localization-related epilepsy, at least one seizure within 12 months, and were able to maintain a daily diary. Information collected included the occurrence, time and characteristics of all seizures, hours of sleep, medication compliance, stress… Expand

Paper Mentions

Interventional Clinical Trial
The study will examine whether a stress reduction intervention reduces the number of seizures in people with drug resistant epilepsy.  
ConditionsEpilepsy
InterventionBehavioral
Seizure precipitants (triggering factors) in patients with epilepsy
TLDR
The findings may have implications for the better management of epilepsy by increasing a focus on nonpharmacological therapy and the implications for nosology and causation of epilepsy are briefly discussed. Expand
Seizure self-prediction in a randomized controlled trial of stress management
TLDR
Participants’ prediction of a high probability of seizure was significantly associated with subsequent seizure occurrence within 24 hours, and future studies should focus on understanding factors that drive self-prediction. Expand
Seizure Precipitating Factors in Patients With Epilepsy
TLDR
Awareness of seizure precipitating factors in the clinical management of the patients with epilepsy may significantly reduce seizure frequency and future studies may contribute to the clarification of the relationship between precipitate factors and seizure occurrence. Expand
Seizure precipitants in a community-based epilepsy cohort
TLDR
Igiopathic generalized epilepsy (IGE), a lower age at seizure onset, and having auras or prodromes were found to be important independent prognostic factors associated with provoked seizures. Expand
Characteristics of people with self-reported stress-precipitated seizures
TLDR
Stress-precipitated seizures are commonly reported by patients, may be associated with either acute stress or chronic stress, and are associated with higher scores on anxiety tests. Expand
Triggers and techniques in termination of partial seizures
TLDR
The majority of patients with partial seizures recognize triggers of seizure onset and believe they can effectively self-terminate their partial-onset seizures, andrelating clinical symptoms at seizure onset with termination may help improve the sensitivity in seizure prediction. Expand
Impact of sleep duration on seizure frequency in adults with epilepsy: A sleep diary study
TLDR
Small degrees of sleep loss were not associated with seizure occurrence in the sample of adults with epilepsy, and the presence of triggers was a significant predictor of seizure occurrence. Expand
Stress as a seizure precipitant: Identification, associated factors, and treatment options
TLDR
Recommendating stress reduction methods to patients with epilepsy appears to be a reasonable low risk adjunctive to standard treatments, but the need for larger randomized controlled trials to help develop evidence based treatment recommendations is emphasized. Expand
Predicting seizures: a behavioral approach.
TLDR
Analysis of paper diary data and preliminary analysis of electronic diary data suggest that seizure prediction is feasible, and evidence suggesting that the preictal phase can sometimes be identified based on neurophysiologic signals, premonitory features, the presence of trigger factors, or self-report is reviewed. Expand
Clinical features of the pre-ictal state: Mood changes and premonitory symptoms
TLDR
Pre-ictal changes in mood and premonitory features may predict seizure occurrence and suggest a role for behavioral intervention and pre-emptive therapy in epilepsy. Expand
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References

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Can patients with epilepsy predict their seizures?
TLDR
A significant subgroup of adult patients with epilepsy were able to self-predict their seizures, which may yield novel therapeutic opportunities. Expand
Seizure precipitants and perceived self-control of seizures in adults with poorly-controlled epilepsy
TLDR
It is indicated that the majority of the sample could identify factors which trigger their seizures, and that some of the participants engage in attempts to reduce their seizure frequency by avoiding these factors and by controlling the onset of their seizures. Expand
Distribution of Seizure Precipitants Among Epilepsy Syndromes
TLDR
Most patients with epilepsy identify a precipitant that triggers or exacerbates seizures, and the high correlation of stress, sleep deprivation, and fatigue suggests that they act through common mechanisms to worsen seizure control. Expand
Reliability of seizure diaries in adult epileptic patients.
TLDR
The assumption in the literature that the daily diary is a reliable method for securing data on seizure counts appears warranted and the overall reliability of seizure recall was 0.95. Expand
Seizure Frequency and Major Life Events in Epilepsy
TLDR
The present study was prompted when three patients became seizure‐free, apparently in response to major life events (marriage, parenthood, and retirement) rather than to changes in treatment. Expand
Which seizure-precipitating factors do patients with epilepsy most frequently report?
TLDR
Knowledge of seizure precipitants has practical implications, not only in patient treatment and counseling, but also for diagnosis, in that it may be helpful in facilitating the appearance of interictal epileptiform discharges in EEG and ictal EEG recordings. Expand
Stressful Life Events and with Seizure Frequency in Patients Epilepsy
TLDR
Testing whether unpleasant life events increased seizure occurrence in persons with epilepsy tested whether seizure frequency increased within 24 h of the occurrence of unpleasant events, using Poisson regression analyses that adjusted for daily antiepileptic medication, sleep duration and quality, alcohol intake, menstrual status, and pleasant events. Expand
Correlations Between Night Sleep Duration and Seizure Frequency in Temporal Lobe Epilepsy
TLDR
Correlations between occurrence of complex partial seizures and altered sleep duration were analyzed in a small but strongly homogeneous population of temporal lobe epilepsy patients, finding that relative sleep deprivation may have a seizure‐provoking effect, especially inporal lobe epilepsy. Expand
Seizure anticipation by patients with focal and generalized epilepsy: A multicentre assessment of premonitory symptoms
TLDR
Evidence is given that both patients with focal and idiopathic generalized epilepsy may subjectively anticipate the occurrence of epileptic seizures, and premonitory symptoms are distinct from auras in terms of semiology and time of occurrence. Expand
Seizure anticipation: Are neurophenomenological approaches able to detect preictal symptoms?
TLDR
Prodromes are not specific enough for clinical use, but could refine the behavioral strategies used in the treatment of epilepsy and the pathophysiology of the preictal state. Expand
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