{"id":59187,"date":"2015-07-02T11:37:15","date_gmt":"2015-07-02T09:37:15","guid":{"rendered":"https:\/\/www.ycomieronperdices.net\/temp\/oconnor2025\/caso-clinico-1\/"},"modified":"2025-07-23T11:28:53","modified_gmt":"2025-07-23T09:28:53","slug":"caso-clinico-1","status":"publish","type":"post","link":"https:\/\/carlosoconnor.es\/en\/caso-clinico-1\/","title":{"rendered":"Clinical case 1"},"content":{"rendered":"<p>Patient 17 years of age who come referred by her neurologist to assess possible OSAS in connection with epileptic seizures (grand mal) not responsive to medication ant. 9 \/ 09<\/p>\n<h3 class=\"title_address\">Background:<\/h3>\n<ul>\n<li>Seizures Generalized every 3 weeks in the last two years. (a dozen income UVI)<\/li>\n<li>Diagnosis 2007 of epilepsy with tonic-clonic in tto with Depakine<\/li>\n<li>5 \/ 08 is changed medication for slowing and weight gain Kepros<\/li>\n<li>3 \/ 09 back with the Kepros Depakine<\/li>\n<li>5 \/ 09 is added to lamotrigine and Depakote Kepros.<\/li>\n<li>4 \/ 09 MR 4 \/ 09 asymmetry of temporal horns right hippocampal atrophy and incipient.<\/li>\n<li>7 \/ 09 Video 24 hours sleep EEG Ruber Clinic. Study shows abnormal slowing and epileptiform activity right. Decreased deep sleep periods are REM<\/li>\n<\/ul>\n<h4>15 months later<\/h4>\n<h4>Results:<\/h4>\n<ul>\n<li>Since 10\/09 the patient has not had any more epileptic seizures<\/li>\n<li>He is currently under treatment with Kepra 1500 mg\/12 h, Lamotrigine Stada 100 mg\/8 h and Magnesium<\/li>\n<li>The patient has stopped snoring and having apnea pauses.<\/li>\n<li>Currently with an Epworth 3, the family is declining to pursue a new sleep study.<\/li>\n<\/ul>\n<h3 class=\"title_address\">Discussion:<\/h3>\n<ul>\n<li>Controlling apnea reduces repeated awakenings and improves sleep architecture, thereby improving seizure control.<\/li>\n<li>Other authors consider that respiratory acidosis associated with OSAS protects the CNS from seizures, which is why they give this disease a protective value against epilepsy.<\/li>\n<li>The prevalence of epilepsy in the population is between 0.5% and 1%, with grand mal epilepsy accounting for 6% of these. Osasuna epilepsy is 5% in the general population. The coexistence of both diseases is 1 case per 5 million inhabitants.<\/li>\n<li>In this case, the drastic elimination of epileptic seizures after the intervention and the clinical resolution of the apnea demonstrate that OSAS can be a factor that makes it difficult to control this disease in patients who suffer from it.<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Paciente 17 a\u00f1os de edad que acude remitido por su neur\u00f3logo para valorar posible OSAS en relaci\u00f3n con crisis epil\u00e9pticas (gran mal) que no responden con medicaci\u00f3n ant. 9\/09 Antecedentes:&hellip;<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[269],"tags":[],"class_list":["post-59187","post","type-post","status-publish","format-standard","hentry","category-casos-clinicos"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.4 - 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