Refractory epilepsies

Refractory epilepsy is a form of disease in which it is impossible to control the frequency and intensity of seizures with a properly chosen combination and dosage of drugs. That's why it is also called pharmacoresistant or uncontrolled.
This type of disease is diagnosed in about 20-25% of patients with a confirmed diagnosis. It develops in both adults and children.
Important! If the revision of treatment tactics and changing the combination of drugs still helps to stop the frequency and severity of seizures, such epilepsy is not refractory.

Symptoms and signs

Epileptic seizures occur with varying frequency and last from a few seconds to several minutes. The combination of symptoms and their severity may also vary from patient to patient.

The most common manifestations of the disease are as follows:
    • cramps (twitching of the legs, arms, muscles in the body);
    • freezing in a certain pose, falling to the floor;
    • staring into the void;
    • disturbance of consciousness;
    • random urination, defecation;
    • biting the tongue.

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Reasons

Uncontrolled epilepsy can be caused by the same factors as other forms of the disease — head injuries, brain tumors, alcoholism, multiple sclerosis, severe infections. It is noteworthy that the development of a pharmacoresistant type of pathology can lead to an untimely visit to a doctor, even if the symptoms are clearly pronounced.

Also, doctors at our clinic sometimes encounter cases in which the diagnosis of epilepsy is incorrect and, accordingly, the treatment chosen is ineffective. Under these conditions, we are able to find the root cause of the seizures and choose the appropriate treatment, thus avoiding adverse consequences.

Diagnostic methods

To confirm refractory epilepsy, VIVERE CLINIC specialists carefully review the patient's medical history to determine the onset and nature of the pathology, to understand the cause, and to identify factors that may provoke seizures.

At the VIVERE CLINIC, the diagnostic program is individually tailored to determine the cause of the disease and identify the structural changes that can cause seizures. Thanks to our innovative approach, we are able to obtain the most accurate information about the patient's state of health and choose an effective treatment. All necessary examinations can be performed in our clinic.

Prevention

To reduce the risk of developing epilepsy, it is possible to prevent injuries, to follow the rules when performing dangerous work, to treat inflammatory and infectious diseases of the brain in a timely manner. It is also important to make an appointment to see a doctor at the first signs of epilepsy to minimize the risk of its transition to a pharmacoresistant form.

Treatment

  • When refractory epilepsy is confirmed the doctor selects a combination of drugs or adjusts previously prescribed treatment and evaluates its effectiveness over time.
  • Depending on the cause of the disease specific metabolic therapy and immunotherapy may also be chosen.
  • At our clinic, the patient's condition is closely monitored by a specialized epileptic neurologist. If necessary, he adjusts the treatment regimen and performs lifelong monitoring of the EEG and plasma concentrations of antiepileptic drugs.
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Recommendations

When suspected of resistant epilepsy it is important not to waste time and immediately undergo examination to confirm the diagnosis and start treatment. Failure to do so may have serious consequences:
    • developmental disabilities, learning problems in children;
    • behavioral, emotional disorders;
    • high risk of sudden death during an attack as a result of trauma.

Cost

At VIVERE CLINIC, you can undergo the necessary diagnostic and treatment procedures, which is convenient for the patient and allows for faster results. The price depends on the required services and is determined individually. A professional team consisting of a psychiatrist, a neurologist, and an epileptologist works with the patient in the clinic.
You can make an appointment by phone or by using the online form on our website.

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Людмила

Проходила лікування у Шейко Макара Васильовича, сподобався підхід до справи, є відчуття що лікар дійсно хоче допомогти розібратися в проблемі, з першого разу вдало підібрав лікування яке дає позитивну динаміку, тому якщо ви вже скрізь були і вам ніхто не допоміг, раджу звернутися саме до цього лікаря.

Оксана

Świetny zespół pielęgniarki znajdują żyły których nie widać ,w mgnieniu oka, lekarze nie leczą objawów tylko chorobę co już w Polsce się rzadko zdarza. Każda diagnoza była konsultowana z lekarzem i szefem kliniki. Logistyka super z niczym nigdy nie było problemu we wszystkim pomagano nam od samego początku. Co najważniejsze nikt nie boi się ( ..ovid 19) co w tych czasach świrusa jest rzadkością. Klinika na wysokim poziomie sami specjaliści w swojej dziedzinie. My widzimy ogromne postępy w zachowaniu naszej autystycznej córki.

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Immunologist of the first category

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Nataliia Pyantkovska
«Find the cause and eliminate it» is my motto in my work with every patient.

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Olga Selezneva
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Electroencephalography (EEG) in children and adults for differential diagnosis of seizures and epileptiform states in various diseases, as well as dynamic monitoring during specific therapy.

Olga Selezneva
Functional diagnostics doctor of the highest category, neurologist

Stage: 34 years

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Makar Sheiko
Changing Psychiatry Together

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