IMPAIRMENT SEVERITY IN SEIZURE DISORDERS - SOME SUGGESTIONS FOR RELIABLE ASSESSMENT

  • 1 January 1977
    • journal article
    • research article
    • Vol. 19  (9) , 615-618
Abstract
Severity of impairment in seizure disorders is typically difficult to assess because of the existence of seizure-free intervals of varying duration, often in the absence of neurological or other clinical signs. For purposes of determining degree of severity, clear documentation and description of seizures, and of any associated phenomena such as loss of sphincter control and the side effects of medication, are needed. Differentiation between primary and secondary seizure disorders is also important because the latter frequently are associated with other impairments. The approach to assessment was based on the incidence and intensity of seizures remaining after maximum therapeutic control is achieved. An assessment form was developed which concisely summarizes salient case features. A composite case report was appended for the purpose of demonstrating use of the form.

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