Featured Research

from universities, journals, and other organizations

Seizures and Epilepsy: A Significant Burden on Veterans

Date:
December 9, 2013
Source:
American Epilepsy Society (AES)
Summary:
Three new studies expose the high prevalence of epilepsy and other neurological disorders in US Veterans who served in Operation Enduring Freedom, Operation Iraqi Freedom and Operation New Dawn. The research conducted from these studies indicate that veterans are at a particularly high risk for traumatic brain injury (TBI), post traumatic stress disorder (PTSD), psychological non-epileptic seizures (PNES) and epileptic seizure diagnoses.

Three studies coming out of the American Epilepsy Society’s 67th Annual Meeting in Washington DC expose the high prevalence of epilepsy and other neurological disorders in US Veterans who served in Operation Enduring Freedom, Operation Iraqi Freedom and Operation New Dawn. The research conducted from these studies indicate that veterans are at a particularly high risk for traumatic brain injury (TBI), post traumatic stress disorder (PTSD), psychological non-epileptic seizures (PNES) and epileptic seizure diagnoses.

A study by the Southeast Epilepsy Centers of Excellence and Duke University Medical Center found that 87,377 Veterans with seizures diagnoses were managed within the Veterans Health Administration during the 2011 Fiscal Year. The prevalence rate was 15.5 per 1,000 and incidence was 148.2 per 100,000. Higher incidence of diagnoses was found in young veterans under the age of 46.

“Appropriately diagnosing and treating Veterans with TBI and PTSD is notoriously difficult,” said Tung T. Tran, MD. “It involves a multidisciplinary approach to include both epilepsy and mental health specialists.”

Another study from the Baylor College of Medicine in Houston, Texas reviewed the results of video-EEG (VEEG) monitoring data for veterans of OEF/OIF from the Michael E. DeBakey VA Medical Center from January 2008 to May 2013. The study uncovered a comparatively higher prevalence for psychogenic non-epileptic seizures (PNES) among OEF/OIF veterans who completed the VEEG monitoring. Among patients with a definitive diagnosis of PNES, 63% of the subjects had PTSD alone, 50% had mTBI alone, and 41.3% had a combination of the two. Alarmingly 90.6% of subjects with PTSD who received definitive VEEG diagnoses also had PNES.

“Our research identified the presence of mild traumatic brain injury (mTBI) and PTSD,” said Shirish Satpute, DO. “Both were common morbidities in this population, and appear to be independently predictive of subsequent VEEG confirmation of PNES.”

As both of the previous studies indicate, the record of US Veterans diagnosed with psychogenic non-epileptic seizures (PNES) is overwhelming, but there is no existing data regarding the outcome of these patients. The acquisition of this information is vital to assessing prognostic factors and planning therapeutic trials. Researchers reviewed all patients meeting criteria for PNES at the Portland, Oregon VAMC EMU from 2000-2011. Following the Epilepsy Monitoring Unit diagnosis of PNES, the majority of veterans continued to report seizures, even after 3 years of follow up.. Only 21% remained continuously seizure free. However, more than 80% of PNES patients who received antiepileptic drugs (AEDs) for seizures prior to EMU evaluation remained continuously off AEDs through 36 months of follow-up.

“The unsatisfactory seizure outcomes underscore the need for effective PNES treatment protocols within the VAMC,” said Martin C. Salinsky, MD. “On a positive note, the elimination of unnecessary AED therapy could avoid potential side effects and reduce the cost of care."


Story Source:

The above story is based on materials provided by American Epilepsy Society (AES). Note: Materials may be edited for content and length.


Cite This Page:

American Epilepsy Society (AES). "Seizures and Epilepsy: A Significant Burden on Veterans." ScienceDaily. ScienceDaily, 9 December 2013. <www.sciencedaily.com/releases/2013/12/131209104914.htm>.
American Epilepsy Society (AES). (2013, December 9). Seizures and Epilepsy: A Significant Burden on Veterans. ScienceDaily. Retrieved July 25, 2014 from www.sciencedaily.com/releases/2013/12/131209104914.htm
American Epilepsy Society (AES). "Seizures and Epilepsy: A Significant Burden on Veterans." ScienceDaily. www.sciencedaily.com/releases/2013/12/131209104914.htm (accessed July 25, 2014).

Share This




More Health & Medicine News

Friday, July 25, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

New Painkiller Designed To Discourage Abuse: Will It Work?

New Painkiller Designed To Discourage Abuse: Will It Work?

Newsy (July 24, 2014) The FDA approved Targiniq ER on Wednesday, a painkiller designed to keep users from abusing it. Like any new medication, however, it has doubters. Video provided by Newsy
Powered by NewsLook.com
Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Newsy (July 24, 2014) Sheik Umar Khan has treated many of the people infected in the Ebola outbreak, and now he's become one of them. Video provided by Newsy
Powered by NewsLook.com
Condemned Man's US Execution Takes Nearly Two Hours

Condemned Man's US Execution Takes Nearly Two Hours

AFP (July 24, 2014) America's death penalty debate raged Thursday after it took nearly two hours for Arizona to execute a prisoner who lost a Supreme Court battle challenging the experimental lethal drug cocktail. Duration: 00:55 Video provided by AFP
Powered by NewsLook.com
Can Watching TV Make You Feel Like A Failure?

Can Watching TV Make You Feel Like A Failure?

Newsy (July 24, 2014) A study by German researchers claims watching TV while you're stressed out can make you feel guilty and like a failure. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

    Health News

      Environment News

        Technology News



          Save/Print:
          Share:

          Free Subscriptions


          Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

          Get Social & Mobile


          Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

          Have Feedback?


          Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
          Mobile: iPhone Android Web
          Follow: Facebook Twitter Google+
          Subscribe: RSS Feeds Email Newsletters
          Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins