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Control of focal impaired awareness seizures with an oral appliance in a patient with sleep apnea

dc.contributor.authorGrinfeld, Renata
dc.contributor.authorMeira e Cruz, Miguel
dc.date.accessioned2019-10-18T11:47:44Z
dc.date.available2019-10-18T11:47:44Z
dc.date.issued2019
dc.description© 2019 Published by Elsevier Ltd on behalf of British Epilepsy Association.pt_PT
dc.description.abstractFocal impaired awareness seizure (FIAS) is a clinical phenomenon with a prevalence of 0.8% that manifests as epileptic discharges commonly located in the amygdala-hippocampal complex. It can cause visual delusions and olfactory, auditory, or affective hallucinations. Obstructive sleep apnea (OSA) is common in patients with epilepsy. Despite their limitations, some studies have revealed an important relationship between OSA and refractory epileptic seizures (RES), as well as between OSA improvement and a corresponding RES improvement with adequate continuous positive airway pressure (CPAP) Mandibular advancement devices (MADs) have been proven to be effective in patients with OSA. Although typically contraindicated in seizure disorders, the efficacy of MADs in the treatment of OSA-associated epileptic events was reported by Fenton JE et al. recently, suggesting its relevance in specific circumstances such as the comorbidity of OSA and epilepsy. In this report, we present a clinical case of a patient diagnosed with FIAS and moderate OSA who was treated with MADs.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSeizure. 2019 Jul;69:116-117pt_PT
dc.identifier.doi10.1016/j.seizure.2019.04.012
dc.identifier.issn1059-1311
dc.identifier.urihttp://hdl.handle.net/10451/39890
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.seizure-journal.com/pt_PT
dc.titleControl of focal impaired awareness seizures with an oral appliance in a patient with sleep apneapt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage117pt_PT
oaire.citation.startPage116pt_PT
oaire.citation.titleSeizure - European Journal of Epilepsypt_PT
oaire.citation.volume69pt_PT
person.familyNameMeira e Cruz
person.givenNameMiguel
person.identifier564039
person.identifier.orcid0000-0001-6076-0878
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicatione6914437-0131-4182-96c8-363a101c91fe
relation.isAuthorOfPublication.latestForDiscoverye6914437-0131-4182-96c8-363a101c91fe

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