Chapter

Epilepsy in Learning Disability

Tom Berney and Shoumitro Deb

in Oxford Textbook of Epilepsy and Epileptic Seizures

Published on behalf of Oxford University Press

Published in print December 2012 | ISBN: 9780199659043
Published online December 2012 | e-ISBN: 9780191751363 | DOI: http://dx.doi.org/10.1093/med/9780199659043.003.0017

Series: Oxford Textbook of

Epilepsy in Learning Disability

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The chapter sketches out how disparate a group are people with a learning disability, encompassing a wide range of age, ability, and pathology. The boundary that separates this group from the normal population is indistinct and varies with their circumstances at the time. Epilepsy, only one of the wide range of coexistent neurodevelopmental disabilities that characterizes this population, is more frequent and often more intransigent with its nature and that of the learning disability often determined by a common underlying genetic/medical disorder. Limited communication hinders the recognition of seizures and of any factors that might affect the seizure threshold as well as of any other symptoms, including the effects of medication. While unusual behavioural responses are frequent and often communicative, they are readily mistaken for epileptic activity. Consequently specialist services have evolved that are familiar with the characteristics and communication that is encountered in someone with Learning Disability. These services therefore are in a strong position to understand and manage this mix of disorder including, in particular, epilepsy.

Chapter.  4765 words. 

Subjects: Neurology ; Learning Disabilities

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