臨床神経学

<シンポジウム(1)―13―3>明日からのてんかん診療向上のための方策

長期的視野からのてんかん診療

井上 有史

静岡てんかん神経医療センター〔〒420―8688 静岡市葵区漆山886〕

A long-term treatment starts once epilepsy was diagnosed and first medication was given. In addition to seizure cessation, drug choice should orient to avoid various adverse effects in various stages of life. When 2 drugs failed to stop seizures for at least 1 year, other therapeutic options including surgery should be considered before adjusting further medications. Comorbidities such as psychiatric disorders should also be appropriately addressed and treated as well as psychosocial support to improve quality of life. In Japan, an appropriate care system for epilepsy failed. Medical treatment and support network system for epilepsy care, consisting of primary, secondary and tertiary care system, should be established and acknowledged. There should be proper coordinators who connect network systems to function regionally and globally as well as interdisciplinary.
Full Text of this Article in Japanese PDF (308K)

(臨床神経, 52:1039−1042, 2012)
key words:てんかん治療,難治てんかん,てんかんケア,医療連携,てんかん医療システム

(受付日:2012年5月23日)