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1. Psychiatric events in epilepsy

Author

Cornaggia, Cesare Maria, Beghi, Massimiliano, Beghi, Ettore, Cornaggia, C. M., Airoldi, L., Beghi, M., Bogliun, G., Brambilla, E., Fiordelli, E., Mascarini, A., Moltrasio, L., Primati, C., Hauser, W. A., Loeber, J. N., De Boer, H., Thorbecke, R., Steuernagel, E., Wolf, P., Sonnen, A. E. H., Severi, S., Zolo, P., Specchio, L. M., Specchio, N., Pasolini, M. P., Antonini, L., Aguglia, U., Russo, C., Gambardella, A., Giubergia, S., Zagnoni, P. G., Cosottini, Mirco, Zaccara, G., Trio, R., Pisani, F., Russo, M., Oteri, G., Cavestro, C. E., Tonini, C., Avanzini, G., Arienti, F., Defanti, C. A., Tartara, A., Manni, R., Castelnuovo, G., Murelli, R., Galimberti, C. A., Zanotta, N., Di Viesti, P., Zarrelli, M., Apollo, F., Runge, U., de Krom, M. C. T. F. M., van Heijden, C., Griet, J., Brown, S. W., Coyle, H., Lopez Lima, J. M., Beleza, P., Ferreira, E., Talvik, T., Beilmann, A., Belousova, E., Levart, T., Zupancic, N., Gromov, S., Lipatova, L. V., Mikhailov, V., Cornaggia, C, Beghi, M, Beghi, E, and Rest, 1

Subjects
Adult, Male, medicine.medical_specialty, Neurology, Adolescent, Referral, Population, Clinical Neurology, Comorbidity, Anxiety, Epilepsy, medicine, Humans, epilepsy, psychiatry, Occupations, Psychiatry, Prospective cohort study, education, Depression (differential diagnoses), education.field_of_study, Depression, business.industry, Mental Disorders, Case-control study, General Medicine, Case-control, medicine.disease, Psychiatric, Case-Control Studies, Female, Follow-Up Studies, Hospitalization, Socioeconomic Factors, Neurology (clinical), MED/25 - PSICHIATRIA, Case–control, business
Abstract

Psychiatric events are thought to be more frequent in people with epileptic seizures than in the general population. However, inter-ictal psychiatric events attributable to epilepsy remain controversial. The aim of the present study was to evaluate the occurrence of psychiatric events in a population of fairly unselected patients with epilepsy and in the general population, and the correlation between psychiatric complaints and selected demographic and disease characteristics. The survey was part of a multicentre prospective cohort study of everyday life risks conducted in eight European countries and comparing referral children and adults with epilepsy referred to secondary/tertiary centers to age- and sex-matched non-epileptic controls. Nine hundred and fifty-one patients with epilepsy and 909 controls were studied. Each patient and his/her control received a diary to record any accident or illness, with severity, circumstances, causes, consequences, and (for the cases) the possible relation to a seizure. The follow-up period ranged between 1 and 2 years. Fifty-eight psychiatric events occurred in 25 patients (2.6%) and 88 in 19 controls (2.1%). Housewives (9.3%) and unemployed persons (4.1%) were mostly affected. No correlation was found between psychiatric events, demographic and disease characteristics. Our results suggest that people with epilepsy if unselected are not at higher risk for psychiatric disorders than the general population. © 2007 British Epilepsy Association.

Published
2007
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2. Accidents in Patients with Epilepsy: Types, Circumstances, and Complications: A European Cohort Study

Author

van den Broek, Mariska, Beghi, Ettore, Cornaggia, C. M., Beghi, M., Bogliun, G., Fiordelli, E., Airoldi, L., Frigeni, B., Mascarini, A., Mapelli, L., Moltrasio, L., Biagi, E., Hauser, W. A., Loeber, J. N., Thorbecke, R., Di Viesti, P., Zarrelli, M., Apollo, F., Giovanni Rotondo, S., Steuernagel, E., Wolf, P., Sonnen, A. E. H., Specchio, L. M., Specchio, N., Boati, E., Defanti, C. A., Pinto, P., Breviario, E., Pasolini, M. P., Antonini, L., Aguglia, U., Russo, C., Gambardella, A., Giubergia, S., Zagnoni, P., Cosottini, Mirco, Zaccara, G., Pisani, F., Oteri, G., Cavestro, C. E., David, A., Tonini, C., Avanzini, G., Arienti, F., Tartara, A., Manni, R., Castelnovo, G., Murelli, R., Galimberti, C. A., Zanotta, N., Runge, U., Dekrom, M. C. T. F. M., Vanheijden, C., Griet, J., van denBroek, M. W. C., Brown, S. W., Coyle, H., Edge, Nr Alderley, Lopes Lima, J. M., Beleza, P., Ferreira, E., Talvik, T., Beilmann, A., Belousova, E., Nikanorowa, M., Ravnik, I. M., Levart, T., Zupancic, N., Gromov, S., Lipatova, L. V., Mikhailov, V., Van den Broek, M, Beghi, E, and Cornaggia, C

Subjects
Adult, Male, Pediatrics, medicine.medical_specialty, Adolescent, Poison control, Cohort Studies, Epilepsy, Risk Factors, Injury prevention, Accidents, Occupational, Humans, Medicine, Prospective Studies, Preschool, Child, Prospective cohort study, Injuries, business.industry, epilepsy, complications, types, circumstances, Accidents, Accidents, Home, Child, Preschool, Europe, Female, Follow-Up Studies, Hospitalization, Patient Acceptance of Health Care, Wounds and Injuries, Neurology, Neurology (clinical), medicine.disease, Occupational, Relative risk, Cohort, Home, business, Risk assessment, Cohort study
Abstract

Purpose: To investigate the risk of accidents in a cohort of patients with epilepsy and in matched nonepilepsy controls. by type, circumstances, and complications. Methods: A total of 95 1 children and adults with idiopathic, cryptogenic, or remote symptomatic epilepsy and 904 matched controls seen in secondary and tertiary centers in eight European Countries (England. Estonia, Germany, Italy, the Netherlands, Portugal. Russia. and Slovenia) were followed Lip prospectively for 17,484 and 17.206 person-months and asked to report any accident requiring medical attention. its site, and complications. Risk assessment was done by using actuarial methods, relative risks (RRs). and 95% confidence intervals (CIs). Results: During the study period, 199 (21%) patients and 123 (14%) controls reported all accident (p < 0.0001); 24% were seizure related. The Cumulative probability of accidents at 12 and 24 months was 17 and 27% in the cases and 12 and 17% in the controls. The risk was highest for concussions (RR, 2.6; 95% Cl, 1.2-5.8), abrasions (RR, 2.1; 95% Cl, 1.1-4.0), and Wounds (RR, 1.9; Cl, 1.2-3.1). Domestic accidents prevailed in both groups, followed by street and work accidents, and were more common among cases. Compared with controls, patients with epilepsy reported more hospitalization, complications, and medical action. Disease characteristics associated with an increased risk of accidents included generalized epilepsy (conclusions), active epilepsy, and at least monthly seizures (abrasions). Most risks decreased, becoming nonsignificant after excluding, seizure-related events. Conclusions: Patients with epilepsy are at higher risk of accidents and their complications. However, the risk was substantially lower after exclusion of seizure-related events

Published
2004
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3. Morbidity in Patients with Epilepsy: Type and Complications: A European Cohort Study

Author

van den Broek, M, Beghi, E, Cornaggia, C, Hauser, W, Loeber, J, Thorbecke, R, Sonnen, A, Specchio, L, Specchio, N, Boati, E, Defanti, C, Pinto, P, Breviario, E, Pasolini, M, Antonini, L, Aguglia, U, Russo, C, Gambardella, A, Giubergia, S, Zagnoni, P, Cosottini, M, Zaccara, G, Pisani, F, Oteri, G, Cavestro, M, David, A, Tonini, C, Avanzini, G, Arienti, F, Beghi, M, Bogliun, G, Fiordelli, E, Frigeni, B, Mascarini, A, Mapelli, L, Moltrasio, L, Biagi, E, Tartara, A, Manni, R, Castelnovo, G, Murelli, R, Galimberti, C, Zanotta, N, Di Viesti, P, Zarrelli, M, Apollo, F, Giovanni Rotondo, S, Steuernagel, E, Wolf, P, Runge, U, de Krom, M, van Heijden, C, Griet, J, Brown, S, Coyle, H, Edge, N, Lopes-Lima, J, Beleza, P, Ferreira, E, Talvik, T, Beilmann, A, Belousova, E, Nikanorowa, M, Ravnik, I, Levart, T, Zupancic, N, Gromov, S, Lipatova, L, Mikhailov, V, van den Broek M., Beghi E., Cornaggia C. M., Hauser W. A., Loeber J. N., Thorbecke R., Sonnen A. E. H., Specchio L. M., Specchio N., Boati E., Defanti C. A., Pinto P., Breviario E., Pasolini M. P., Antonini L., Aguglia U., Russo C., Gambardella A., Giubergia S., Zagnoni P., Cosottini M., Zaccara G., Pisani F., Oteri G., Cavestro M. C. E., David A., Tonini C., Avanzini G., Arienti F., Beghi M., Bogliun G., Fiordelli E., Frigeni B., Mascarini A., Mapelli L., Moltrasio L., Biagi E., Tartara A., Manni R., Castelnovo G., Murelli R., Galimberti C. A., Zanotta N., Di Viesti P., Zarrelli M., Apollo F., Giovanni Rotondo S., Steuernagel E., Wolf P., Runge U., de Krom M. C. T. F. M., van Heijden C., Griet J., van den Broek M. W. C., Brown S. W., Coyle H., Edge N. A., Lopes-Lima J. M., Beleza P., Ferreira E., Talvik T., Beilmann A., Belousova E., Nikanorowa M., Ravnik I. M., Levart T., Zupancic N., Gromov S., Lipatova L. V., Mikhailov V., van den Broek, M, Beghi, E, Cornaggia, C, Hauser, W, Loeber, J, Thorbecke, R, Sonnen, A, Specchio, L, Specchio, N, Boati, E, Defanti, C, Pinto, P, Breviario, E, Pasolini, M, Antonini, L, Aguglia, U, Russo, C, Gambardella, A, Giubergia, S, Zagnoni, P, Cosottini, M, Zaccara, G, Pisani, F, Oteri, G, Cavestro, M, David, A, Tonini, C, Avanzini, G, Arienti, F, Beghi, M, Bogliun, G, Fiordelli, E, Frigeni, B, Mascarini, A, Mapelli, L, Moltrasio, L, Biagi, E, Tartara, A, Manni, R, Castelnovo, G, Murelli, R, Galimberti, C, Zanotta, N, Di Viesti, P, Zarrelli, M, Apollo, F, Giovanni Rotondo, S, Steuernagel, E, Wolf, P, Runge, U, de Krom, M, van Heijden, C, Griet, J, Brown, S, Coyle, H, Edge, N, Lopes-Lima, J, Beleza, P, Ferreira, E, Talvik, T, Beilmann, A, Belousova, E, Nikanorowa, M, Ravnik, I, Levart, T, Zupancic, N, Gromov, S, Lipatova, L, Mikhailov, V, van den Broek M., Beghi E., Cornaggia C. M., Hauser W. A., Loeber J. N., Thorbecke R., Sonnen A. E. H., Specchio L. M., Specchio N., Boati E., Defanti C. A., Pinto P., Breviario E., Pasolini M. P., Antonini L., Aguglia U., Russo C., Gambardella A., Giubergia S., Zagnoni P., Cosottini M., Zaccara G., Pisani F., Oteri G., Cavestro M. C. E., David A., Tonini C., Avanzini G., Arienti F., Beghi M., Bogliun G., Fiordelli E., Frigeni B., Mascarini A., Mapelli L., Moltrasio L., Biagi E., Tartara A., Manni R., Castelnovo G., Murelli R., Galimberti C. A., Zanotta N., Di Viesti P., Zarrelli M., Apollo F., Giovanni Rotondo S., Steuernagel E., Wolf P., Runge U., de Krom M. C. T. F. M., van Heijden C., Griet J., van den Broek M. W. C., Brown S. W., Coyle H., Edge N. A., Lopes-Lima J. M., Beleza P., Ferreira E., Talvik T., Beilmann A., Belousova E., Nikanorowa M., Ravnik I. M., Levart T., Zupancic N., Gromov S., Lipatova L. V., and Mikhailov V.

Abstract

Purpose: To investigate the risk of illnesses in a cohort of patients with epilepsy and in matched nonepilepsy controls, by type and complications. Methods: A total of 951 children and adults with idiopathic, cryptogenic, or remote symptomatic epilepsy and 904 matched controls seen in secondary and tertiary centers in eight European countries (England, Estonia, Germany, Italy, the Netherlands, Portugal, Russia, Slovenia) were followed prospectively for 17,484 and 17,206 person-months and asked to report any spontaneous complaint requiring medical attention (illness), its type and complications (hospitalization, absence from work or school, medical action). Risk assessment was done by actuarial methods, relative risks (RR), and 95% confidence intervals (CIs). Results: During the study period 644 patients (68%) and 504 controls (56%) reported an illness (p<0.0001); 30% were seizure related. The cumulative probability of illness at 12 and 24 months was 49 and 86% in the cases and 39 and 75% in the controls (p<0.0001). The largest differences regarded disorders affecting the nervous system (NS) (RR, 3.3; 95% CI, 2.3-4.2) and ear, nose, and throat (ENT) (RR, 1.3; 95% CI, 1.0-1.6). In patients with epilepsy, an NS illness was more likely to be followed by hospital admission, work absence, or medical intervention. All risks were significantly reduced after excluding seizure-related events. Conclusions: Patients with epilepsy are at higher risk of NS and ENT illnesses and complications than the general population. However, the risk of illness is significantly reduced when seizure-related events are excluded

Published
2004

4. Accidents in patients with epilepsy: types, circumstances, and complications: a European cohort study

Author

van den Broek, M, Beghi, E, Cornaggia, C, Beghi, M, Bogliun, G, Fiordelli, E, Airoldi, L, Frigeni, B, Mascarini, A, Mapelli, L, Moltrasio, L, Biagi, E, Hauser, W, Loeber, J, Thorbecke, R, Di Viesti, P, Zarrelli, M, Apollo, F, Giovanni Rotondo, S, Steuernagel, E, Wolf, P, Sonnen, A, Specchio, L, Specchio, N, Boati, E, Defanti, C, Pinto, P, Breviario, E, Pasolini, M, Antonini, L, Aguglia, U, Russo, C, Gambardella, A, Giubergia, S, Zagnoni, P, Cosottini, M, Zaccara, G, Pisani, F, Oteri, G, Cavestro, C, David, A, Tonini, C, Avanzini, G, Arienti, F, Tartara, A, Manni, R, Castelnovo, G, Murelli, R, Galimberti, C, Zanotta, N, Runge, U, Dekrom, M, Vanheijden, C, Griet, J, van denBroek, M, Brown, S, Coyle, H, Edge, N, Lopes-Lima, J, Beleza, P, Ferreira, E, Talvik, T, Beilmann, A, Belousova, E, Nikanorowa, M, Ravnik, I, Levart, T, Zupancic, N, Gromov, S, Lipatova, L, Mikhailov, V, van den Broek M., Beghi E., Cornaggia C. M., Beghi M., Bogliun G., Fiordelli E., Airoldi L., Frigeni B., Mascarini A., Mapelli L., Moltrasio L., Biagi E., Hauser W. A., Loeber J. N., Thorbecke R., Di Viesti P., Zarrelli M., Apollo F., Giovanni Rotondo S., Steuernagel E., Wolf P., Sonnen A. E. H., Specchio L. M., Specchio N., Boati E., Defanti C. A., Pinto P., Breviario E., Pasolini M. P., Antonini L., Aguglia U., Russo C., Gambardella A., Giubergia S., Zagnoni P., Cosottini M., Zaccara G., Pisani F., Oteri G., Cavestro C. E., David A., Tonini C., Avanzini G., Arienti F., Tartara A., Manni R., Castelnovo G., Murelli R., Galimberti C. A., Zanotta N., Runge U., deKrom M. C. T. F. M., vanHeijden C., Griet J., van denBroek M. W. C., Brown S. W., Coyle H., Edge N. A., Lopes-Lima J. M., Beleza P., Ferreira E., Talvik T., Beilmann A., Belousova E., Nikanorowa M., Ravnik I. M., Levart T., Zupancic N., Gromov S., Lipatova L. V., Mikhailov V., van den Broek, M, Beghi, E, Cornaggia, C, Beghi, M, Bogliun, G, Fiordelli, E, Airoldi, L, Frigeni, B, Mascarini, A, Mapelli, L, Moltrasio, L, Biagi, E, Hauser, W, Loeber, J, Thorbecke, R, Di Viesti, P, Zarrelli, M, Apollo, F, Giovanni Rotondo, S, Steuernagel, E, Wolf, P, Sonnen, A, Specchio, L, Specchio, N, Boati, E, Defanti, C, Pinto, P, Breviario, E, Pasolini, M, Antonini, L, Aguglia, U, Russo, C, Gambardella, A, Giubergia, S, Zagnoni, P, Cosottini, M, Zaccara, G, Pisani, F, Oteri, G, Cavestro, C, David, A, Tonini, C, Avanzini, G, Arienti, F, Tartara, A, Manni, R, Castelnovo, G, Murelli, R, Galimberti, C, Zanotta, N, Runge, U, Dekrom, M, Vanheijden, C, Griet, J, van denBroek, M, Brown, S, Coyle, H, Edge, N, Lopes-Lima, J, Beleza, P, Ferreira, E, Talvik, T, Beilmann, A, Belousova, E, Nikanorowa, M, Ravnik, I, Levart, T, Zupancic, N, Gromov, S, Lipatova, L, Mikhailov, V, van den Broek M., Beghi E., Cornaggia C. M., Beghi M., Bogliun G., Fiordelli E., Airoldi L., Frigeni B., Mascarini A., Mapelli L., Moltrasio L., Biagi E., Hauser W. A., Loeber J. N., Thorbecke R., Di Viesti P., Zarrelli M., Apollo F., Giovanni Rotondo S., Steuernagel E., Wolf P., Sonnen A. E. H., Specchio L. M., Specchio N., Boati E., Defanti C. A., Pinto P., Breviario E., Pasolini M. P., Antonini L., Aguglia U., Russo C., Gambardella A., Giubergia S., Zagnoni P., Cosottini M., Zaccara G., Pisani F., Oteri G., Cavestro C. E., David A., Tonini C., Avanzini G., Arienti F., Tartara A., Manni R., Castelnovo G., Murelli R., Galimberti C. A., Zanotta N., Runge U., deKrom M. C. T. F. M., vanHeijden C., Griet J., van denBroek M. W. C., Brown S. W., Coyle H., Edge N. A., Lopes-Lima J. M., Beleza P., Ferreira E., Talvik T., Beilmann A., Belousova E., Nikanorowa M., Ravnik I. M., Levart T., Zupancic N., Gromov S., Lipatova L. V., and Mikhailov V.

Abstract

Purpose: To investigate the risk of accidents in a cohort of patients with epilepsy and in matched nonepilepsy controls, by type, circumstances, and complications. Methods: A total of 951 children and adults with idiopathic, cryptogenic, or remote symptomatic epilepsy and 904 matched controls seen in secondary and tertiary centers in eight European countries (England, Estonia, Germany, Italy, the Netherlands, Portugal, Russia, and Slovenia) were followed up prospectively for 17,484 and 17,206 person-months and asked to report any accident requiring medical attention, its site, and complications. Risk assessment was done by using actuarial methods, relative risks (RRs), and 95% confidence intervals (CIs). Results: During the study period, 199 (21%) patients and 123 (14%) controls reported an accident (p < 0.0001); 24% were seizure related. The cumulative probability of accidents at 12 and 24 months was 17 and 27% in the cases and 12 and 17% in the controls. The risk was highest for concussions (RR, 2.6; 9.5% CI, 1.2-5.8), abrasions (RR, 2.1; 95% CI, 1.1-4.0), and wounds (RR, 1.9; CI, 1.2-3.1). Domestic accidents prevailed in both groups, followed by street and work accidents, and were more common among cases. Compared with controls, patients with epilepsy reported more hospitalization, complications, and medical action. Disease characteristics associated with an increased risk of accidents included generalized epilepsy (concussions), active epilepsy, and at least monthly seizures (abrasions). Most risks decreased, becoming nonsignificant after excluding seizure-related events. Conclusions: Patients with epilepsy are at higher risk of accidents and their complications. However, the risk was substantially lower after exclusion of seizure-related events.

Published
2004

5. Social aspects of epilepsy in the adult in seven European countries

Author

Beghi, E., Cornaggia, C. M., Hauser, W. A., Loeber, J. N., Thorbecke, R., Sonnen, A. E. H., Severi, S., Zolo, P., Specchio, L. M., Specchio, N., Boati, E., Defanti, C. A., Pinto, P., Breviario, E., Pasolini, M. P., Antonini, L., Aguglia, U., Russo, C., Gambardella, A., Giubergia, S., Zagnoni, P., Mirco Cosottini, Zaccara, G., Trio, R., Pisani, F., Russo, M., Oteri, G., Cavestro, C. E., David, A., Tonini, C., Gianetti, S., Avanzini, G., Arienti, F., Bogliun, G., Fiordelli, E., Airoldi, L., Tartara, A., Manni, R., Castelnovo, G., Murelli, R., Galimberti, C. A., Zanotta, N., Di Viesti, P., Zarrelli, M., Apollo, F., Steuernagel, E., Wolf, P., Runge, U., Krom, M. C. T. F. M., Heijden, C., Griet, J., Diaz-Obregon, C., Utrero, E., Brown, S. W., Coyle, H., Lopes-Lima, J. M., Beleza, P., Ferreira, E., Talvik, T., Beilmann, A., Belousova, E., Nikanorowa, M., Ravnik, I. M., Levart, T., Zupancic, N., Gromov, S., Lipatova, L. V., and Mikhailov, V.

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