{"id":1184,"date":"2024-09-08T14:57:22","date_gmt":"2024-09-08T12:57:22","guid":{"rendered":"https:\/\/roneuro.ro\/blog\/?p=1184"},"modified":"2024-09-08T14:58:34","modified_gmt":"2024-09-08T12:58:34","slug":"diagnosticarea-epilepsiei","status":"publish","type":"post","link":"https:\/\/roneuro.ro\/blog\/diagnosticarea-epilepsiei\/","title":{"rendered":"Diagnosticarea epilepsiei"},"content":{"rendered":"\n<h2>Cum se realizeaz\u0103 diagnosticarea epilepsiei?<\/h2>\n<p>Diagnosticarea epilepsiei are la baz\u0103:<\/p>\n<ul>\n<li>istoricul medical;<\/li>\n<li>prezen\u021ba simptomelor \u0219i crizelor \u00een trecut;<\/li>\n<li>rezultatele testelor specifice.<\/li>\n<\/ul>\n<p>Medicul v\u0103 va pune \u00eentreb\u0103ri \u00een leg\u0103tur\u0103 cu simptomele precedente crizelor. Dac\u0103 nu v\u0103 pute\u021bi aminti criza, discuta\u021bi cu cineva care a fost prezent \u00een timpul acesteia.<\/p>\n<p>Anumite teste pot ajuta la confirmarea unui diagnostic de epilepsie:<\/p>\n<ul>\n<li>analize de s\u00e2nge,<\/li>\n<li>EEG (electroencefalogram\u0103),<\/li>\n<li>scan\u0103ri ale creierului (CT sau RMN).<\/li>\n<\/ul>\n<p>Orice rezultat anormal poate ajuta la clasificarea tipului de epilepsie. Pentru mai multe informa\u021bii despre cauzele, simptomele \u0219i tipurile de epilepsie, citi\u021bi <a href=\"https:\/\/roneuro.ro\/blog\/ce-este-epilepsia\/\"><strong><em>Ce este epilepsia?<\/em><\/strong><\/a> \u0219i <a href=\"https:\/\/roneuro.ro\/blog\/principalele-tipuri-de-crize-epileptice\/\"><strong><em>Care sunt principalele tipuri de crize epileptice?<\/em><\/strong><\/a><\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-1185 aligncenter\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/diagnosticarea-epilepsiei-scaled.jpg\" alt=\"\" width=\"700\" height=\"324\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/diagnosticarea-epilepsiei-scaled.jpg 2560w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/diagnosticarea-epilepsiei-300x139.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/diagnosticarea-epilepsiei-1024x474.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/diagnosticarea-epilepsiei-768x356.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/diagnosticarea-epilepsiei-1536x711.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/diagnosticarea-epilepsiei-2048x948.jpg 2048w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/diagnosticarea-epilepsiei-750x347.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/diagnosticarea-epilepsiei-1140x528.jpg 1140w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><\/p>\n<div style=\"border: 1px solid #b14cf4; padding: 10px;\"><center><strong>Este posibil s\u0103 ave\u021bi epilepsie chiar dac\u0103 rezultatele EEG \u0219i ale scan\u0103rilor cerebrale sunt normale!<\/strong><\/center><\/div>\n<h2>Diagnosticarea epilepsiei &#8211; ce tipuri de analize \u0219i teste sunt recomandate?<\/h2>\n<p>Medicul va \u00eentreba dac\u0103 a\u021bi experimentat oricare dintre urm\u0103toarele \u00een timpul unei crize:<\/p>\n<ul>\n<li>rigiditate muscular\u0103;<\/li>\n<li>pierderea controlului intestinelor sau al vezicii urinare \u00een timpul crizei;<\/li>\n<li>modificarea respira\u021biei;<\/li>\n<li>culoare palid\u0103 a pielii;<\/li>\n<li>privire goal\u0103;<\/li>\n<li>pierderea de con\u0219tiin\u021b\u0103;<\/li>\n<li>probleme de vorbire sau de \u00een\u021belegere.<\/li>\n<\/ul>\n<p><a href=\"https:\/\/roneuro.ro\/blog\/electroencefalografia-eeg\/\"><strong>Electroencefalografia (EEG)<\/strong><\/a><strong>:<\/strong> Acest test m\u0103soar\u0103 activitatea electric\u0103 din creier. Convulsiile produc activitate electric\u0103 anormal\u0103.<\/p>\n<p style=\"text-align: left;\">Pentru mai multe informa\u021bii despre EEG, urm\u0103ri\u021bi interviul video cu medic primar <strong>Livia Popa.<\/strong><\/p>\n<p style=\"text-align: center;\"><strong><br \/>\n<iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/kYxo8gHfkG4?si=-3UnjJMb-38nskmd\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><br \/>\n<\/strong><\/p>\n<p><strong>Scan\u0103ri ale creierului:<\/strong> Imagistic\u0103 prin rezonan\u021b\u0103 magnetic\u0103 (IRM) este utilizat\u0103 pentru a identifica tumori, infec\u021bii sau anomalii ale vaselor de s\u00e2nge care pot constitui cauza crizelor epileptice. Dac\u0103 ave\u021bi dou\u0103 sau mai multe crize care nu au fost cauzate de o afec\u021biune medical\u0103 se consider\u0103 c\u0103 ave\u021bi epilepsie.<\/p>\n<div style=\"border: 1px solid #b14cf4; padding: 10px;\"><center><strong>O singur\u0103 criz\u0103 nu \u00eenseamn\u0103 c\u0103 ave\u021bi epilepsie &#8211; aproximativ 1 din 2 persoane care au o singur\u0103 criz\u0103 nu mai au niciodat\u0103 o alt\u0103 criz\u0103!<\/strong><\/center><\/div>\n<h2>Resurse \u0219i suport pentru pacien\u021bi<\/h2>\n<p>Suferi\u021bi de epilepsie? Programa\u021bi-v\u0103 acum contact\u00e2nd recep\u021bia Institutului <strong>RoNeuro<\/strong> la num\u0103rul de telefon<strong> <a href=\"tel:+40374462222\">0374 46 2222<\/a><\/strong>, luni \u0219i mar\u021bi \u00eentre orele <strong>08:00 &#8211; 19:00<\/strong>, iar de miercuri p\u00e2n\u0103 vineri \u00eentre orele <strong>08:00 &#8211; 18:00. <\/strong><\/p>\n<p>La momentul program\u0103rii, pute\u021bi opta \u0219i pentru consulta\u021bie neurologic\u0103 gratuit\u0103, decontat\u0103 prin Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate. Mai mult, pot fi efectuate program\u0103ri online.<\/p>\n<p style=\"text-align: center;\"><a style=\"background-color: #6852ed; color: white; text-decoration: none; border: none; padding: 10px 20px; cursor: pointer; display: inline-block;\" href=\"https:\/\/www.roneuro.ro\/progamari.html\">Program\u0103ri online aici!<\/a><\/p>\n<p>Locui\u021bi \u00eentr-o zon\u0103 izolat\u0103 sau nu v\u0103 pute\u021bi deplasa la clinic\u0103? RoNeuro ofer\u0103 \u0219i op\u021biunea de <strong><a href=\"https:\/\/www.roneuro.ro\/telemedicina.html\" target=\"_blank\" rel=\"noopener\">telemedicin\u0103<\/a>.<\/strong><\/p>\n<h2>Cum se gestioneaz\u0103 epilepsia?<\/h2>\n<p>De\u0219i epilepsia nu poate fi vindecat\u0103, sunt disponibile multe op\u021biuni de tratament.<\/p>\n<p>Majoritatea persoanelor cu epilepsie pot gestiona boala cu <strong>tratament medicamentos cu<\/strong> <strong>antiepileptice <\/strong>\u0219i prin<strong> evitarea declan\u0219atorilor<\/strong>.<\/p>\n<p>Tratamentul este recomandat \u00een func\u021bie de:<\/p>\n<ul>\n<li>v\u00e2rst\u0103;<\/li>\n<li>tipul de epilepsie;<\/li>\n<li>cauza epilepsiei (dac\u0103 este cunoscut\u0103).<\/li>\n<\/ul>\n<p><img decoding=\"async\" class=\"wp-image-1188 aligncenter\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/alegerea-medicatie-in-epilepsie-scaled.jpg\" alt=\"\" width=\"600\" height=\"407\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/alegerea-medicatie-in-epilepsie-scaled.jpg 2560w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/alegerea-medicatie-in-epilepsie-300x203.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/alegerea-medicatie-in-epilepsie-1024x694.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/alegerea-medicatie-in-epilepsie-768x521.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/alegerea-medicatie-in-epilepsie-1536x1041.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/alegerea-medicatie-in-epilepsie-2048x1389.jpg 2048w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/alegerea-medicatie-in-epilepsie-750x509.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/alegerea-medicatie-in-epilepsie-1140x773.jpg 1140w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/p>\n<div style=\"border: 1px solid #b14cf4; padding: 10px;\"><center><strong>Deoarece unele medicamente pot produce malforma\u021bii congenitale, anun\u021ba\u021bi medicul dac\u0103 sunte\u021bi gravid\u0103 sau inten\u021biona\u021bi s\u0103 r\u0103m\u00e2ne\u021bi gravid\u0103!<\/strong><\/center><\/div>\n<p>&nbsp;<\/p>\n<p>Multe medicamente antiepileptice trebuie s\u0103 fie monitorizate prin analize de s\u00e2nge regulate pentru a v\u0103 asigura c\u0103 doza respectiv\u0103:<\/p>\n<ul>\n<li>nu este prea sc\u0103zut\u0103;<\/li>\n<li>nu este prea mare;<\/li>\n<li>nu cauzeaz\u0103 alte probleme medicale.<\/li>\n<\/ul>\n<h2>C\u00e2t timp va trebui s\u0103 iau medicamente antiepileptice?<\/h2>\n<p>Durata tratamentului depinde de tipul de epilepsie \u0219i de r\u0103spunsul la medica\u021bie.<\/p>\n<p>&nbsp;<\/p>\n<div style=\"border: 1px solid #b14cf4; padding: 10px;\"><center><strong>Medica\u021bia poate fi \u00eentrerupt\u0103 doar la recomandarea medicului, dac\u0103 timp de mai mul\u021bi ani nu au existat crize! Unele persoane pot necesita tratament pe tot parcursul vie\u021bii.<\/strong><\/center><\/div>\n<p>&nbsp;<\/p>\n<p>Decizia este bazat\u0103 pe mai mul\u021bi factori, precum absen\u021ba leziunilor cerebrale (pe RMN), rezultatele EEG \u0219i istoricul medical.<\/p>\n<h2>Ce alte op\u021biuni de tratament pentru epilepsiei exist\u0103?<\/h2>\n<p>Epilepsia poate fi gestionat\u0103 \u0219i cu op\u021biuni nonfarmaceutice, dac\u0103 medicamentele nu sunt suficiente sau nu au efectul dorit.<\/p>\n<h3>Interven\u021bii chirurgicale asupra zonei creierului care provoac\u0103 crizele<\/h3>\n<p>Acestea sunt folosite atunci c\u00e2nd medicamentele nu func\u021bioneaz\u0103 sau dac\u0103 crizele sunt severe \u0219i debilitante. <strong>Este important ca \u00eenainte de interven\u021bie s\u0103 fi\u021bi evalua\u021bi la un centru pentru epilepsie.<\/strong><\/p>\n<p><img decoding=\"async\" class=\"wp-image-1189 aligncenter\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/optiuni-chirurgicale-ale-epilepsiei-scaled.jpg\" alt=\"\" width=\"700\" height=\"322\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/optiuni-chirurgicale-ale-epilepsiei-scaled.jpg 2560w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/optiuni-chirurgicale-ale-epilepsiei-300x138.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/optiuni-chirurgicale-ale-epilepsiei-1024x470.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/optiuni-chirurgicale-ale-epilepsiei-768x353.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/optiuni-chirurgicale-ale-epilepsiei-1536x705.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/optiuni-chirurgicale-ale-epilepsiei-2048x940.jpg 2048w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/optiuni-chirurgicale-ale-epilepsiei-750x344.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/optiuni-chirurgicale-ale-epilepsiei-1140x524.jpg 1140w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><\/p>\n<p><strong>Rezec\u021bia chirurgical\u0103<\/strong> este \u00eendep\u0103rtarea \u021besutului anormal.<\/p>\n<p><strong>Deconectarea<\/strong> se refer\u0103 la t\u0103ierea fasciculelor de fibre care conecteaz\u0103 zone ale creierului<\/p>\n<p><strong>Radiochirurgia stereotactic\u0103<\/strong> vizeaz\u0103 distrugerea \u021bintit\u0103 a \u021besutului cerebral anormal.<\/p>\n<p><strong>Implantarea de dispozitive de neuromodulare<\/strong> (ex. dispozitiv de stimulare cerebral\u0103 profund\u0103 &#8211; Deep brain Stimulation) se bazeaz\u0103 pe transmiterea de impulsuri electrice c\u0103tre creier pentru a reduce crizele \u00een timp.<\/p>\n<h3>Stimularea nervului vag<\/h3>\n<p>Aceasta presupune stimularea repetat\u0103 a nervului vag cu ajutorul unor electrozi implanta\u021bi, fiind tolerat de adul\u021bii cu crize par\u021biale netratabile medical \u0219i pun\u00e2nd duce la o reducere de 50% a crizelor dup\u0103 3 luni de tratament [1].<\/p>\n<p>Efectele secundare includ:<\/p>\n<ul>\n<li>disconfort la nivelul fe\u021bei sau al g\u00e2tului atunci c\u00e2nd stimulatorul este activat;<\/li>\n<li>tuse;<\/li>\n<li>dificult\u0103\u021bi de respira\u021bie la efort;<\/li>\n<li>r\u0103gu\u0219eal\u0103 a vocii [1].<\/li>\n<\/ul>\n<p>Toate efectele adverse sunt legate de intensitatea stimul\u0103rii \u0219i se reduc rapid la majoritatea pacien\u021bilor.<\/p>\n<h3>Dieta terapeutic\u0103<\/h3>\n<p><strong>\u00a0<\/strong><strong>Dieta ketogenic\u0103 \u0219i dieta Atkins modificat\u0103<\/strong> &#8211; diete bogate \u00een gr\u0103simi, moderate \u00een proteine \u0219i s\u0103race \u00een carbohidra\u021bi &#8211; sunt cele mai comune diete recomandate pentru persoanele cu epilepsie.<\/p>\n<p>Dietele sunt recomandate mai ales copiilor la care medica\u021bia nu a fost eficient\u0103 \u0219i care nu sunt candida\u021bi pentru interven\u021bie chirurgical\u0103.<\/p>\n<p>Un studiu care a evaluat impactul dietelor arat\u0103 c\u0103 35% din grupul cu diet\u0103 Atkins \u0219i 10% din grupul cu diet\u0103 ketogenic\u0103 au avut o sc\u0103dere de 51-75% a frecven\u021bei crizelor epileptice [3].<\/p>\n<style>\n  .responsive-table {<br \/>    width: 100%;<br \/>    border-collapse: collapse;<br \/>    border: 1px solid #dddddd;<br \/>  }<\/p>\n<p>  .responsive-table th, .responsive-table td {<br \/>    border: 1px solid #dddddd;<br \/>    text-align: left;<br \/>    padding: 8px;<br \/>  }<\/p>\n<p>  .responsive-table th {<br \/>    background-color: #f2f2f2;<br \/>  }<\/p>\n<p>  .responsive-table tr:nth-child(odd) {<br \/>    background-color: #ffffff; \/* White *\/<br \/>  }<\/p>\n<p>  .responsive-table tr:nth-child(even) {<br \/>    background-color: #f2f2f2; \/* Light grey *\/<br \/>  }<\/p>\n<p>  @media screen and (max-width: 600px) {<br \/>    .responsive-table, .responsive-table tbody, .responsive-table th, .responsive-table td, .responsive-table tr {<br \/>      display: block;<br \/>    }<br \/>    .responsive-table thead {<br \/>      display: none;<br \/>    }<br \/>    .responsive-table tr {<br \/>      margin-bottom: 15px;<br \/>    }<br \/>    .responsive-table td {<br \/>      text-align: right;<br \/>      padding-left: 50%;<br \/>      position: relative;<br \/>    }<br \/>    .responsive-table td:before {<br \/>      content: attr(data-label);<br \/>      position: absolute;<br \/>      left: 0;<br \/>      padding-left: 10px;<br \/>      font-weight: bold;<br \/>      text-align: left;<br \/>    }<br \/>  }<br \/><\/style>\n<table class=\"responsive-table\">\n<thead>\n<tr>\n<th>Dieta ketogenic\u0103<\/th>\n<th>Dieta Atkins<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td data-label=\"Dieta ketogenic\u0103\">Con\u021binut sc\u0103zut de carbohidra\u021bi, moderat de proteine, bogat \u00een gr\u0103simi<\/td>\n<td data-label=\"Dieta Atkins\">Con\u021binut foarte sc\u0103zut de carbohidra\u021bi, moderat de proteine, bogat \u00een gr\u0103simi<\/td>\n<\/tr>\n<tr>\n<td data-label=\"Dieta ketogenic\u0103\">Aduce organismul \u00een starea metabolic\u0103 de cetoz\u0103 (organismul utilizeaz\u0103 ca surs\u0103 principal\u0103 de energie gr\u0103simile nu zah\u0103rul)<\/td>\n<td data-label=\"Dieta Atkins\">Aduce organismul \u00een starea de cetoz\u0103, dar Implic\u0103 cre\u0219terea treptat\u0103 a aportului de carbohidra\u021bi, care va scoate \u00een cele din urm\u0103 organismul din cetoz\u0103<\/td>\n<\/tr>\n<tr>\n<td data-label=\"Dieta ketogenic\u0103\">Aproximativ 20% din calorii provin din proteine. Aport total de carbohidra\u021bi = 20-50 g pe zi. Consumul a mai pu\u021bin de 5% din calorii din carbohidra\u021bi, 10-30% din proteine \u0219i 65-90% din gr\u0103simi<\/td>\n<td data-label=\"Dieta Atkins\">P\u00e2n\u0103 la 30% din calorii provin din proteine, \u00een func\u021bie de faz\u0103. Faza 1 (inducerea): Permite consumul a 20-25 g de carbohidra\u021bi pe zi p\u00e2n\u0103 c\u00e2nd ajunge\u021bi la greutatea dvs. \u021bint\u0103 + 7kg. Faza 2: 25-50 g de carbohidra\u021bi pe zi p\u00e2n\u0103 c\u00e2nd sunte\u021bi la 5 kg de greutatea dvs. \u021bint\u0103. Faza 3: Consumul de carbohidra\u021bi cre\u0219te la 50-80 g pe zi, p\u00e2n\u0103 c\u00e2nd v\u0103 atinge\u021bi greutatea \u021bint\u0103 \u0219i o men\u021bine\u021bi timp de 1 lun\u0103. Faza 4: 80-100 g de carbohidra\u021bi net pe zi pentru men\u021binerea greut\u0103\u021bii.<\/td>\n<\/tr>\n<tr>\n<td data-label=\"Dieta ketogenic\u0103\">Restrictiv\u0103<\/td>\n<td data-label=\"Dieta Atkins\">Permite o varietate mai mare de alimente, cum ar fi mai multe fructe \u0219i legume \u0219i chiar unele cereale<\/td>\n<\/tr>\n<tr>\n<td data-label=\"Dieta ketogenic\u0103\">Necesit\u0103 monitorizarea cetonelor<\/td>\n<td data-label=\"Dieta Atkins\">Nu necesit\u0103 monitorizarea cetonelor<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" data-label=\"Both diets\">Reducere drastic\u0103 a alimentelor bogate \u00een carbohidra\u021bi, inclusiv dulciuri, b\u0103uturi zaharoase, p\u00e2ine, cereale, fructe, leguminoase \u0219i cartofi<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" data-label=\"Both diets\">Pot duce la pierderea \u00een greutate prin sc\u0103derea num\u0103rului de calorii consumate<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><em>Mai multe informa\u021bii despre alte op\u021biuni de gestionare a epilepsiei vor fi prezentate \u00eentr-un articol ulterior.<\/em><\/p>\n<h2>Concluzii<\/h2>\n<p>Diagnosticul \u0219i tratamentul corect al epilepsiei sunt pa\u0219ii esen\u021biali \u00een gestionarea acestei afec\u021biuni. Diagnosticul este pus doar de c\u0103tre un cadru medical \u0219i necesit\u0103 analiza istoricului medical, evaluarea simptomelor \u0219i efectuarea de teste specifice, precum EEG. Astfel, tratamentul poate fi personalizat \u00een func\u021bie de tipul de crize \u0219i de individ.<\/p>\n<p>Medica\u021bia reprezint\u0103 prima linie de tratament, fiind eficient\u0103 \u00een majoritatea cazurilor. Totu\u0219i, pentru pacien\u021bii rezisten\u021bi la medica\u021bie exist\u0103 diferite op\u021biuni, precum interven\u021biile chirurgicale \u0219i terapiile inovatoare, precum stimularea cerebral\u0103 profund\u0103.<\/p>\n<p>Alte metode de gestionare a epilepsiei includ stimularea nervului vag, folosirea canabisului medical \u0219i implementarea dietelor s\u0103race \u00een carbohidra\u021bi.<\/p>\n<p>Cu o abordare bine coordonat\u0103 \u0219i personalizat\u0103, pacien\u021bii cu epilepsie pot ob\u021bine o \u00eembun\u0103t\u0103\u021bire semnificativ\u0103 a calit\u0103\u021bii vie\u021bii.<\/p>\n<h3>Referin\u021be<\/h3>\n<ol>\n<li><em><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1059131199903540\" target=\"_blank\" rel=\"noopener\">Vagus nerve stimulation for epilepsy<\/a>: A Review<\/em>. Seizure.<\/li>\n<li>Shoemaker, S. (2023, June 23). <em>Atkins vs. Keto: What\u2019s the difference?<\/em> Healthline. https:\/\/www.healthline.com\/nutrition\/atkins-vs-keto#atkins<\/li>\n<li>Ghazavi A, Tonekaboni SH, Karimzadeh P, Nikibakhsh AA, Khajeh A, Fayyazi A. The ketogenic and atkins diets effect on intractable epilepsy: a comparison. Iran J Child Neurol. 2014 Summer;8(3):12-7.<\/li>\n<li>Zaheer S, Kumar D, Khan MT, Giyanwani PR, Kiran F. Epilepsy and Cannabis: A Literature Review. Cureus. 2018 Sep 10;10(9):e3278. doi: 10.7759\/cureus.3278. PMID: 30443449; PMCID: PMC6235654.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Cum se realizeaz\u0103 diagnosticarea epilepsiei? Diagnosticarea epilepsiei are la baz\u0103: istoricul medical; prezen\u021ba simptomelor \u0219i crizelor \u00een trecut; rezultatele testelor specifice. Medicul v\u0103 va pune \u00eentreb\u0103ri \u00een leg\u0103tur\u0103 cu simptomele precedente crizelor. Dac\u0103 nu v\u0103 pute\u021bi aminti criza, discuta\u021bi cu cineva care a fost prezent \u00een timpul acesteia. Anumite teste pot ajuta la confirmarea unui [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1196,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"source_name":"","source_url":"","via_name":"","via_url":"","override_template":"0","override":[{"template":"6","single_blog_custom":"","parallax":"1","fullscreen":"1","layout":"no-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"floatbottom","share_float_style":"share-normal","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author":"0","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","show_post_reading_time":"1","post_reading_time_wpm":"300","show_zoom_button":"1","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_prev_next_post":"0","show_popup_post":"1","number_popup_post":"3","show_author_box":"0","show_post_related":"1","show_inline_post_related":"0"}],"override_image_size":"0","image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post":"0","trending_post_position":"meta","trending_post_label":"Trending","sponsored_post":"0","sponsored_post_label":"Sponsored by","sponsored_post_name":"","sponsored_post_url":"","sponsored_post_logo_enable":"0","sponsored_post_logo":"","sponsored_post_desc":"","disable_ad":"0"},"jnews_primary_category":{"id":"","hide":""},"jnews_override_counter":[],"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1184","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1184","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/comments?post=1184"}],"version-history":[{"count":10,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1184\/revisions"}],"predecessor-version":[{"id":1199,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1184\/revisions\/1199"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media\/1196"}],"wp:attachment":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media?parent=1184"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/categories?post=1184"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/tags?post=1184"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}