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Table of Contents
Year : 2020  |  Volume : 8  |  Issue : 1  |  Page : 31-32

Handbook on epilepsy for physicians

Senior Consultant in Internal Medicine, Prem Health Care, Kuvempunagar, Mysore, Karnataka, India

Date of Web Publication14-Jan-2020

Correspondence Address:
Dr. Manjunath Premanath
#671, Nrupatunga Road, M-Block, Kuvempunagar, Mysore - 570 023, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/AJIM.AJIM_76_19

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How to cite this article:
Premanath M. Handbook on epilepsy for physicians. APIK J Int Med 2020;8:31-2

How to cite this URL:
Premanath M. Handbook on epilepsy for physicians. APIK J Int Med [serial online] 2020 [cited 2020 Jul 6];8:31-2. Available from: http://www.ajim.in/text.asp?2020/8/1/31/275988

Editors : P. V. Rai, H. V. Sreenivas, P. Satishchandra, G. T. Subhas

Published by : Jaypee Brothers Medical Publishers, New Delhi 2019, 1st Edition

ISBN : 978-93-89188-00-4

Pages : 174

Prize : Cost not Mentioned, CD/DVD-ROM not Provided with this Copy

This book has 23 chapters, 22 dedicated to epilepsy and one to the Indian Epilepsy Association. There are 27 contributors which includes the 4 editors, with a forward by Dr. B. S. Singhal.

The book starts with three color pages containing three plates. One will be confused to place them as one has not started reading the book. If these plates are shifted to the concerned chapters in the next editions, it would be much easier to relate to them. The first chapter is on the history of epilepsy and the progress made over the centuries, which is informative and interesting. The chapter on febrile seizures would be most useful to physicians. This information should disseminate to the doctors working in semi-urban and rural areas, who see such patients very often. The references mentioned in the chapter should be superscripted in the text. The next chapter is on epilepsy in children, which will be highly useful to pediatricians as well as physicians who treat children as well, in rural areas.

The next two chapters are on new-onset epilepsy in adults and epilepsy in the elderly. Both give lot of information, but one has to search which information is more important to remember. My suggestion would be to highlight important facts such as “drugs that can induce epilepsy” and “magnetic resonance imaging (MRI) better than computed tomography (CT)” so that they remain etched in mind. Abbreviations have to be explained at the end of the chapter (page 45). The chapter on women, epilepsy, and pregnancy is informative, but a paragraph on epilepsy occurring due to metabolic disturbances, eclampsia, and cerebral venous thrombosis would have been helpful.

The chapter on seizures and epilepsy, is a very important one for the physicians as making a wrong diagnosis at this stage makes the patient to consume antiepileptic drug (AED) indefinitely with the stigma of epilepsy attached. A small chapter, should have come earlier to other chapters. In the chapter on epilepsy and psychiatric aspects, writing about absence epilepsy, it has been mentioned that persons with absence epilepsy had significant behavioral problems compared to juvenile rheumatoid arthritis (JRA) patients. Is it JRA or juvenile myoclonic epilepsy? Genetic testing is an important tool to know the genetic basis of seizures and for precision prescription, which is not available to majority of patients. Physicians have to be trained in this aspect, but, at present, it remains a research tool, and hence may not be of that significant to physicians in their day-to-day practice.

Various investigations that are done on epilepsy are neatly explained in Chapter 10. The next chapter deals with status epilepticus. Even though it is complicated to treat such patients in the periphery or at places where facilities are not available, physicians should know to recognize the status and refer immediately. The chapter on drug therapy of epilepsy gives the details of the drugs, their side effects, dosing, etc., nothing has been highlighted. Physicians should be told in simple terms the ideal drug to start with and which drug to add later. These have to be added either by their experience or by consensus.

Chapter 13 deals with the diagnosis of epilepsy. It is a nicely written chapter which should have come earlier. This chapter has to be repositioned. A table explaining the advantages and disadvantages of MRI and CT in the diagnosis of epilepsy would have been more helpful. The chapter on drug withdrawal in people with epilepsy is very informative. The case histories are nice, a few more Indian case histories from their arsenal would have helped our doctors to relate to the cases. Drug-resistant epilepsy has been dealt with very well. This information is very essential to all the physicians treating cases of epilepsy. The surgical aspects of managing refractory epilepsy are very well brought about.

Chapters 17, 18, and 19 deal with epilepsy and counseling, prevention of epilepsy, and the prevailing laws, which should be known to not only physicians but also patients. The next three chapters deal with the important aspects of education, sports, yoga, diet, TV, and computer usage and have cleared lots of myths. This should reach the common man. The last chapter is on Indian Epilepsy Association and its Karnataka Chapter and the wonderful work they have done and doing in the field of epilepsy.

This is a good handbook which gives good amount of information. A few additions would definitely improve the appeal of the book. The chapters need reorganization. Each chapter should highlight important findings. There should be take-home message at the end of each chapter. Physicians need concise information to refer in the hour of need. With some of these modifications, this book should be on the table of every physician who deals with epilepsy. Congratulations to the editors/authors for their painstaking work.


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