Post-traumatic epilepsy has been listed as one of the Natural sciences good articles under the good article criteria. If you can improve it further, please do so. If it no longer meets these criteria, you can reassess it. | ||||||||||
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A fact from this article appeared on Wikipedia's
Main Page in the "
Did you know?" column on
March 6, 2008. The text of the entry was: Did you know ...that
antiepileptic drugs have been shown to prevent early
post-traumatic seizures but not
post-traumatic epilepsy? |
Ideal sources for Wikipedia's health content are defined in the guideline
Wikipedia:Identifying reliable sources (medicine) and are typically
review articles. Here are links to possibly useful sources of information about Post-traumatic epilepsy.
|
This article is rated GA-class on Wikipedia's
content assessment scale. It is of interest to the following WikiProjects: | ||||||||||||||||||||||||
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The literature frequently uses " post-traumatic seizures" when referring to the chronic condition, maybe because it's broader (they definitely have seizures, but it's harder to diagnose epilepsy). I've been using PTE when a source says "seizure disorder" but when it just uses PTS, I've been putting it in the PTS article. delldot talk 22:18, 1 March 2008 (UTC)
I'm copying these from my talk page so they're accessible to everyone. delldot talk 00:15, 4 March 2008 (UTC)
Some sources on Google Books
{{
cite book}}
: CS1 maint: multiple names: authors list (
link){{
cite book}}
: CS1 maint: multiple names: authors list (
link)Jennet's 1975 book ("Epilepsy after Non-Missile Injuries", 2nd Edition, 1975) appears to be the definitive work from which others are based. Its age means that some definitions may have been superseded. If you can get hold of this book, your articles would benefit immensely.
Temkin's 1990 study ("A randomized double-blind study of phenytoin for the prevention of post-traumatic seizures" N Engl J Med 323:497-502, 1990) seems to be the critical study into prophylaxis.
Jennet is responsible for the classification into early and late post-traumatic seizures, with the early form occurring with the first week. This definition still holds. Some have suggested a refinement to consider the first day as another threshold. Several sources state "One third of early seizures occur within the first hour of injury, another one-third within the first day, and the last one-third during the remainder of the first week"-- including bowen 1992 delldot talk 22:49, 6 March 2008 (UTC)
The Textbook Of Traumatic Brain Injury says "Technically, if seizures occur after the first week postinjury and are recurrent, the term post-traumatic epilepsy should be used, but the literature uses the terms posttraumatic seizures and posttraumatic epilepsy interchangeably, and most seem to favor the use of posttraumatic seizures.
I'd say we can classify post-traumatic seizures into two groups: early (within 7 days of injury) and late. The early group can be further subdivided such that immediate seizures occur within 24 hours of injury.
The issue is that if one has epilepsy, then one also has seizures. But one may have seizures without epilepsy (i.e., if they are provoked). It is safer for authors to use the term "seizures" since they are observable unambiguous events that may be counted and dated. The transition from saying "these seizures are caused by the original injury" (provoked) to "these seizures are due to the long-term brain damage" (unprovoked)" is the key to the use of the term "epilepsy". The "one week" threshold is, according to most, rather arbitrary. Your source for the provoked/unprovoked distinction is using the early=provoked late=unprovoked grouping in an approximate manner. They aren't directly equivalent due to the arbitrary nature of the 7 day cut-off.
{{
cite journal}}
: CS1 maint: multiple names: authors list (
link)Colin 13:41, 25 February 2008 (UTC) (posted to User talk:Delldot)
This review is transcluded from Talk:Post-traumatic epilepsy/GA1. The edit link for this section can be used to add comments to the review.
Some comments as I go along reading this important article:
I will stop now, but hopefully I can carry on later on today. JFW | T@lk 08:29, 25 July 2008 (UTC)
Some further comments in anticipation of GA approval:
That should be about it... JFW | T@lk 10:01, 29 July 2008 (UTC)
Great stuff so far. Let me know when I can give this fine article the Green Blob. JFW | T@lk 15:22, 29 July 2008 (UTC)
GA done. Good. JFW | T@lk 21:46, 2 August 2008 (UTC)
From the ILAE:
A few comments on classification:
I would offer to revise the text here but it is getting late for me tonight, and I'd have to use different sources from yours. Colin° Talk 21:31, 26 July 2008 (UTC)
{{
cite journal}}
: Explicit use of et al. in: |author=
(
help)CS1 maint: multiple names: authors list (
link)GA done. Congratulations. JFW | T@lk 21:45, 2 August 2008 (UTC)
This article could use an image in the lead. Not sure what but... Doc James ( talk · contribs · email) 03:02, 19 December 2009 (UTC)
Chokseym added the following:
“ | It is unlikely that the work of Jennett et al (1972)on the risk factors for post-traumatic epilepsy will be improved upon in the future, and all subsequent studies have merely confirmed their original findings. The principal risk factors in post-traumatic non-missile civilian head injury remain the presence of a penetrating injury with a dural tear, a haematoma, early epilepsy and PTA of > 24 hours. In the worst case scenario (all 4 factors) the risk is over 70%, falling to under 3% if none are present.(see Jennett B. Epilepsy after Non-Missile head injuries. Heinemann London 1975) | ” |
This may be true, except this is written in Wikipedia's voice without a source. I am sure that it is correct, but we cannot say it without a WP:MEDRS-compatible secondary source. JFW | T@lk 17:08, 25 February 2014 (UTC)
Post-traumatic epilepsy has been listed as one of the Natural sciences good articles under the good article criteria. If you can improve it further, please do so. If it no longer meets these criteria, you can reassess it. | ||||||||||
| ||||||||||
A fact from this article appeared on Wikipedia's
Main Page in the "
Did you know?" column on
March 6, 2008. The text of the entry was: Did you know ...that
antiepileptic drugs have been shown to prevent early
post-traumatic seizures but not
post-traumatic epilepsy? |
Ideal sources for Wikipedia's health content are defined in the guideline
Wikipedia:Identifying reliable sources (medicine) and are typically
review articles. Here are links to possibly useful sources of information about Post-traumatic epilepsy.
|
This article is rated GA-class on Wikipedia's
content assessment scale. It is of interest to the following WikiProjects: | ||||||||||||||||||||||||
|
The literature frequently uses " post-traumatic seizures" when referring to the chronic condition, maybe because it's broader (they definitely have seizures, but it's harder to diagnose epilepsy). I've been using PTE when a source says "seizure disorder" but when it just uses PTS, I've been putting it in the PTS article. delldot talk 22:18, 1 March 2008 (UTC)
I'm copying these from my talk page so they're accessible to everyone. delldot talk 00:15, 4 March 2008 (UTC)
Some sources on Google Books
{{
cite book}}
: CS1 maint: multiple names: authors list (
link){{
cite book}}
: CS1 maint: multiple names: authors list (
link)Jennet's 1975 book ("Epilepsy after Non-Missile Injuries", 2nd Edition, 1975) appears to be the definitive work from which others are based. Its age means that some definitions may have been superseded. If you can get hold of this book, your articles would benefit immensely.
Temkin's 1990 study ("A randomized double-blind study of phenytoin for the prevention of post-traumatic seizures" N Engl J Med 323:497-502, 1990) seems to be the critical study into prophylaxis.
Jennet is responsible for the classification into early and late post-traumatic seizures, with the early form occurring with the first week. This definition still holds. Some have suggested a refinement to consider the first day as another threshold. Several sources state "One third of early seizures occur within the first hour of injury, another one-third within the first day, and the last one-third during the remainder of the first week"-- including bowen 1992 delldot talk 22:49, 6 March 2008 (UTC)
The Textbook Of Traumatic Brain Injury says "Technically, if seizures occur after the first week postinjury and are recurrent, the term post-traumatic epilepsy should be used, but the literature uses the terms posttraumatic seizures and posttraumatic epilepsy interchangeably, and most seem to favor the use of posttraumatic seizures.
I'd say we can classify post-traumatic seizures into two groups: early (within 7 days of injury) and late. The early group can be further subdivided such that immediate seizures occur within 24 hours of injury.
The issue is that if one has epilepsy, then one also has seizures. But one may have seizures without epilepsy (i.e., if they are provoked). It is safer for authors to use the term "seizures" since they are observable unambiguous events that may be counted and dated. The transition from saying "these seizures are caused by the original injury" (provoked) to "these seizures are due to the long-term brain damage" (unprovoked)" is the key to the use of the term "epilepsy". The "one week" threshold is, according to most, rather arbitrary. Your source for the provoked/unprovoked distinction is using the early=provoked late=unprovoked grouping in an approximate manner. They aren't directly equivalent due to the arbitrary nature of the 7 day cut-off.
{{
cite journal}}
: CS1 maint: multiple names: authors list (
link)Colin 13:41, 25 February 2008 (UTC) (posted to User talk:Delldot)
This review is transcluded from Talk:Post-traumatic epilepsy/GA1. The edit link for this section can be used to add comments to the review.
Some comments as I go along reading this important article:
I will stop now, but hopefully I can carry on later on today. JFW | T@lk 08:29, 25 July 2008 (UTC)
Some further comments in anticipation of GA approval:
That should be about it... JFW | T@lk 10:01, 29 July 2008 (UTC)
Great stuff so far. Let me know when I can give this fine article the Green Blob. JFW | T@lk 15:22, 29 July 2008 (UTC)
GA done. Good. JFW | T@lk 21:46, 2 August 2008 (UTC)
From the ILAE:
A few comments on classification:
I would offer to revise the text here but it is getting late for me tonight, and I'd have to use different sources from yours. Colin° Talk 21:31, 26 July 2008 (UTC)
{{
cite journal}}
: Explicit use of et al. in: |author=
(
help)CS1 maint: multiple names: authors list (
link)GA done. Congratulations. JFW | T@lk 21:45, 2 August 2008 (UTC)
This article could use an image in the lead. Not sure what but... Doc James ( talk · contribs · email) 03:02, 19 December 2009 (UTC)
Chokseym added the following:
“ | It is unlikely that the work of Jennett et al (1972)on the risk factors for post-traumatic epilepsy will be improved upon in the future, and all subsequent studies have merely confirmed their original findings. The principal risk factors in post-traumatic non-missile civilian head injury remain the presence of a penetrating injury with a dural tear, a haematoma, early epilepsy and PTA of > 24 hours. In the worst case scenario (all 4 factors) the risk is over 70%, falling to under 3% if none are present.(see Jennett B. Epilepsy after Non-Missile head injuries. Heinemann London 1975) | ” |
This may be true, except this is written in Wikipedia's voice without a source. I am sure that it is correct, but we cannot say it without a WP:MEDRS-compatible secondary source. JFW | T@lk 17:08, 25 February 2014 (UTC)