Inventário simplificado de qualidade de vida na epilepsia infantil: primeiros resultados Simplified inventory of quality of life in childhood epilepsy: initial results

OBJETIVO: Verificar como os pais percebem a qualidade de vida dos filhos epilépticos e se crenças relativas à epilepsia controlam a relação pais e filhos. MÉTODO: Foram aplicados 21 protocolos do "Inventário Simplificado de Qualidade de Vida na Epilepsia Infantil" em pais de crianças com 6 a 14 anos portadoras de epilepsia benigna da infância. RESULTADOS: Observou-se que 86% dos pais relataram crenças relativas à epilepsia. A maioria dos pais avaliou a qualidade de vida dos filhos como muito boa, mas relataram dificuldades no lidar com eles. Aparecem comportamentos de superproteção (62%) e sentimentos de preocupação, medo e insegurança (90%). As crianças foram avaliadas como irritadas (52%), dependentes (38%), agitadas e inquietas (38%). No que diz respeito à escola, 33% das crianças freqüentam escolas especiais e apresentam dificuldades escolares e de relacionamento. CONCLUSÃO: Crenças e desinformação parecem controlar o comportamento dos pais na maneira de lidar com seus filhos epilépticos, gerando comportamentos inadequados, apesar disto, percebem a qualidade de vida dos mesmos como muito boa.<br>PURPOSE: to check how parents realize the quality of life of their epileptic children and if the relationship is controlled by their beliefs about epilepsy. METHOD: it has been applied 21 protocols of "Simplified inventory of quality of life in childhood epilepsy" to parents of children aged between 6-14 years old with benign childhood epilepsy. RESULTS: it was observed that 86% of parents evaluated their children's quality of life as very good, but reported difficulties to deal with them. Behaviors of overprotection (62%) and feelings of worry, fear and insecurity (90%) were observed. The children were evaluated as irritated (52%), dependents (38%), overwroughts and inquiets (38%). About school, 33% are in special schools and have difficulties of academic and relationship. CONCLUSION: it was verified a lot of beliefs and acknowledgement seem to control parent's behavior on the way of dealing with epileptic children producing inadequate behaviors, in spite of realizing the quality of life of their children as been very good

Prehospital Treatment of Status Epilepticus with Benzodiazepines Is Effective and Safe

Benzodiazepines are an effective and safe treatment of status epilepticus and serial seizures when used in an out-of-hospital setting. Intravenously administered lorazepam is somewhat superior to diazepam for the treatment of status epilepticus. Treatment of status epilepticus should be initiated when seizures have lasted 5–7 minutes