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Biomedical subjects

R R Luckstein

Publications and source records attributed to R R Luckstein.

2 recordsLinked to original sources

Epilepsy education: a nursing perspective.

The nurse-clinician offers a unique perspective in the early education of patients with epilepsy. As part of the health-care team, the nurse assumes an important role in providing comprehensive epilepsy education. Epilepsy may occur at any time throughout life, and age-related needs necessitate ongoing assessment and intervention. The initial approach is to formulate an individualized educational plan of care. Financial, emotional, and cultural concerns should be discussed, and available support systems should be analyzed. The goal of epilepsy education is to provide the patient and family members with the informational tools needed to enhance their knowledge about epilepsy. The nurse can present a formal educational plan and schedule appointments to review the various aspects of self-management and reinforce their importance. Ultimately, this knowledge of epilepsy and the recommended treatment plan can lead to a greater sense of power and control necessary for self-management and an improved quality of life. By creating a foundation of trust with the patient, health-care providers can continue to monitor and manage the seizure disorder to attain optimal patient outcomes. This positive interaction with the health-care team will subsequently influence the patient's lifestyle in a beneficial manner.

Epilepsy↗

Facial asymmetry, hippocampal pathology, and remote symptomatic seizures: a temporal lobe epileptic syndrome.

We performed a prospective study of neuroimaging studies and temporal lobe pathology in 13 patients with facial asymmetry and intractable partial epilepsy of temporal lobe origin. The 13 patients, derived from 50 consecutive patients with nonlesional medically refractory partial epilepsy, were deemed appropriate candidates for an anterior temporal lobectomy. The facial weakness occurred exclusively, or was most prominent, during emotional expression, ie, spontaneous smiling. The temporal lobe of seizure origin, demonstrated by ictal long-term EEG monitoring, was always contralateral to the side of weakness. All 13 patients had a history of early childhood neurologic disease, eg, complex febrile seizure or bacterial meningitis. Hippocampal formation atrophy was present in all the epileptic temporal lobes by MRI-based volume studies. Twelve of the 13 patients subsequently received an anterior temporal lobectomy, and mesial temporal sclerosis was present in all the surgically excised temporal lobes. Ten of the 12 patients have been seizure-free during short-term follow-up. Facial asymmetry may occur in patients with partial epilepsy related to remote symptomatic seizures and mesial temporal sclerosis.

Adolescent↗