臨床神経学

第48回日本神経学会総会

<教育講演6>
てんかんの社会的側面

井上 有史

国立病院機構静岡てんかん神経医療センター〔〒420-8688 静岡市葵区漆山886〕

Patients with epilepsy (PWE) suffer from various social consequences of long-standing epileptic condition and comorbidities. The seizure is the most important factor that affects social life of PWE. 20-30% of PWE have intractable seizures. The seizure impairs the work performance especially when the postictal functional disturbance takes a protracted course. The important comorbidities that affect integration in employment are unskillfulness in occupational attitude and interpersonal relation as well as poor fine movements. Rehabilitation should orient toward these difficulties. The fear of seizure is one of the important distresses in about half of PWE even if the seizure is well controlled.
Public awareness toward epilepsy also indirectly influences on the social life of PWE. The results of a survey conducted by Japan Epilepsy Association indicated that the correct knowledge about epilepsy should be educated in primary and junior high school. The professionals in the fields of education, medicine and welfare should especially be instructed on the correct picture of epilepsy. The driving license was issued officially to about 2000 PWE in a year that may contribute to the social integration of PWE.

(臨床神経, 47:787−789, 2007)
key words:てんかん, 合併障害, 就労, 社会の意識, 免許

(受付日:2007年5月16日)