{"id":781,"date":"2022-06-17T18:36:07","date_gmt":"2022-06-17T21:36:07","guid":{"rendered":"https:\/\/conectandopessoas.net\/cria\/na\/?page_id=781"},"modified":"2022-09-15T09:30:09","modified_gmt":"2022-09-15T12:30:09","slug":"epilepsias","status":"publish","type":"page","link":"https:\/\/www.naneurologistas.com.br\/?page_id=781","title":{"rendered":"Epilepsias"},"content":{"rendered":"\t\t
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Epilepsias<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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As crises epil\u00e9pticas ocorrem quando h\u00e1 uma atividade neuronal excessiva ou s\u00edncrona anormal no c\u00e9rebro, resultando na manifesta\u00e7\u00e3o transit\u00f3ria de sinais e sintomas que correspondem \u00e0s regi\u00f5es cerebrais ativadas no momento da crise. Existem dezenas de tipos de crises, como a crise t\u00f4nico-cl\u00f4nica (popularmente conhecida como \u201cconvuls\u00e3o\u201d), a crise de aus\u00eancia, as mioclonias, as crises focais, entre outras. As causas das crises s\u00e3o bastante variadas, como AVC, tumores cerebrais, esclerose hipocampal, trauma, dist\u00farbios metab\u00f3licos, processos neurodegenerativos (p.ex., Doen\u00e7a de Alzheimer), causas gen\u00e9ticas e febre alta na inf\u00e2ncia. Ainda, \u00e9 importante saber que as crises epil\u00e9pticas podem ocorrer em pessoas com ou sem epilepsia. A epilepsia caracteriza-se por uma predisposi\u00e7\u00e3o persistente do c\u00e9rebro em gerar crises epil\u00e9pticas e pelas consequ\u00eancias cognitivas, neurobiol\u00f3gicas e psicossociais dessa condi\u00e7\u00e3o.<\/span><\/p><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Entre os diversos tipos de s\u00edndromes epil\u00e9pticas, destacam-se, entre outras:\u00a0 <\/span><\/p><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tS\u00edndrome de West<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tS\u00edndrome de Dravet<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tS\u00edndrome de Lennox-Gastaut<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tEpilepsia com esp\u00edculas centrotemporais auto-limitada (antiga epilepsia rol\u00e2ndica)<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tEpilepsia aus\u00eancia da inf\u00e2ncia<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tEpilepsia aus\u00eancia juvenil<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tEpilepsia miocl\u00f4nica juvenil<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tEpilepsia do lobo temporal mesial com esclerose hipocampal<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tEpilepsia do lobo temporal familiar<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t
  • \n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tEpilepsia hipermotora (hipercin\u00e9tica) relacionada ao sono<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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    Diagn\u00f3stico<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    O primeiro passo na avalia\u00e7\u00e3o dos pacientes \u00e9 determinarmos se as crises s\u00e3o de fato crises epil\u00e9pticas ou se constituem um dos diversos eventos que podem ser semelhantes a crises epil\u00e9pticas (p.ex., s\u00edncope, ataque isqu\u00eamico transit\u00f3rio, aura migranosa, amn\u00e9sia global transit\u00f3ria, eventos psicog\u00eanicos). A avalia\u00e7\u00e3o neurol\u00f3gica inicia com uma hist\u00f3ria cl\u00ednica detalhada e o exame f\u00edsico, sendo ent\u00e3o associados exames complementares, como eletroencefalograma, exames de imagem cerebral e exames laboratoriais. Sendo diagnosticadas crises epil\u00e9pticas\/epilepsia, a investiga\u00e7\u00e3o tamb\u00e9m determinar\u00e1 os tipos espec\u00edficos de crises e de epilepsia, com o tratamento individualizado para cada condi\u00e7\u00e3o cl\u00ednica. <\/span><\/p><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    Tratamentos medicamentoso das epilepsias<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Atualmente, existe uma ampla variedade de medicamentos para o controle das crises epil\u00e9pticas, com mecanismos de a\u00e7\u00e3o distintos. Essas medica\u00e7\u00f5es, quando administradas de acordo com o tipo espec\u00edfico de crise\/epilepsia e levando em considera\u00e7\u00e3o todos os demais aspectos do paciente, como a idade, comorbidades e o uso de outros medicamentos, podem proporcionar o controle das crises na maioria dos pacientes, com a menor incid\u00eancia de efeitos colaterais. Dessa forma, \u00e9 poss\u00edvel proporcionar\u00a0 uma melhor qualidade de vida aos pacientes, em seus mais amplos aspectos. <\/span><\/p><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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    Outros tratamentos<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Aproximadamente 30% dos pacientes com epilepsia n\u00e3o apresentam controle total de suas crises exclusivamente com medicamentos. Para esses pacientes, outros tipos de tratamentos podem ser oferecidos, como o tratamento cir\u00fargico e diversos tipos de modalidades de neuromodula\u00e7\u00e3o. A indica\u00e7\u00e3o desses tratamentos depender\u00e1 de uma avalia\u00e7\u00e3o ampla e multiprofissional de cada caso espec\u00edfico, levando em conta todas as caracter\u00edsticas da condi\u00e7\u00e3o e do paciente.<\/span><\/p><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

    Epilepsias As crises epil\u00e9pticas ocorrem quando h\u00e1 uma atividade neuronal excessiva ou s\u00edncrona anormal no c\u00e9rebro, resultando na manifesta\u00e7\u00e3o transit\u00f3ria de sinais e sintomas que correspondem \u00e0s regi\u00f5es cerebrais ativadas no momento da crise. Existem dezenas de tipos de crises, como a crise t\u00f4nico-cl\u00f4nica (popularmente conhecida como \u201cconvuls\u00e3o\u201d), a crise de aus\u00eancia, as mioclonias, as […]<\/p>\n","protected":false},"author":7,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"0","ocean_second_sidebar":"0","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"0","ocean_custom_header_template":"0","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"0","ocean_menu_typo_font_family":"0","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"0","footnotes":""},"class_list":["post-781","page","type-page","status-publish","hentry","entry"],"_links":{"self":[{"href":"https:\/\/www.naneurologistas.com.br\/index.php?rest_route=\/wp\/v2\/pages\/781","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.naneurologistas.com.br\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.naneurologistas.com.br\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.naneurologistas.com.br\/index.php?rest_route=\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.naneurologistas.com.br\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=781"}],"version-history":[{"count":34,"href":"https:\/\/www.naneurologistas.com.br\/index.php?rest_route=\/wp\/v2\/pages\/781\/revisions"}],"predecessor-version":[{"id":2674,"href":"https:\/\/www.naneurologistas.com.br\/index.php?rest_route=\/wp\/v2\/pages\/781\/revisions\/2674"}],"wp:attachment":[{"href":"https:\/\/www.naneurologistas.com.br\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=781"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}