User:Niamking/sandbox
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Approximately 8-10% of people will experience an epileptic seizure during their lifetime.[1] In adults, the risk of seizure recurrence within the five years following a new-onset seizure is 35%; the risk rises to 75% in persons who have had a second seizure.[1] In children, the risk of seizure recurrence within the five years following a single unprovoked seizure is about 50%; the risk rises to about 80% after two unprovoked seizures.[2] In the United States in 2011, seizures resulted in an estimated 1.6 million emergency department visits; approximately 400,000 of these visits were for new-onset seizures.[1] About 50% of people with an unprovoked apparent "first seizure" have had other minor seizures, so their diagnosis is epilepsy.[7] The exact incidence of epileptic seizures in low-income and middle-income countries is unknown, however it exceeds that in high-income countries.[3] This may be due to increased risks of traffic accidents, birth injuries, and malaria and other parasitic infections.[3]
- ^ a b c Gavvala, Jay R.; Schuele, Stephan U. (2016-12-27). "New-Onset Seizure in Adults and Adolescents". JAMA. 316 (24): 2657. doi:10.1001/jama.2016.18625. ISSN 0098-7484.
- ^ Camfield, Peter; Camfield, Carol (2015). "Incidence, prevalence and aetiology of seizures and epilepsy in children". Epileptic Disorders: International Epilepsy Journal with Videotape. 17 (2): 117–123. doi:10.1684/epd.2015.0736. ISSN 1294-9361. PMID 25895502.
- ^ a b Ba-Diop, Awa; Marin, Benoît; Druet-Cabanac, Michel; Ngoungou, Edgard B.; Newton, Charles R.; Preux, Pierre-Marie (2014). "Epidemiology, causes, and treatment of epilepsy in sub-Saharan Africa". The Lancet. Neurology. 13 (10): 1029–1044. doi:10.1016/S1474-4422(14)70114-0. ISSN 1474-4465. PMC 5497080. PMID 25231525.
{{cite journal}}: CS1 maint: PMC format (link)
Comment
[edit]You did a nice job placing your references in the correct place and choosing secondary sources. I also like your use of Wikilinks. You can try to add a few more lay terms into the text. For example, attributable may be replaced. Great work so far!JenOttawa (talk) 03:26, 6 November 2018 (UTC)
Agree with Jen, and suggest it might be worth including a sentence about cerebrovascular - or at least stroke, per se - disease as an important risk factor for epilepsy (at least in the 'developed' world) and a significant contributor to the second (larger) peak of incidence in older people? There is a literature about this, esp post-stroke (hint - DOI: 10.1177/2396987317705536, Introduction). This needs to be balanced with the 'Causes' section. NB maybe in the para starting "Provoked seizures are due to a temporary event..." it would be simpler just to refer to the 'Causes' section further down, rather than listing here? Also, the challenges of diagnosis in older people worth reinforcing (seizures are under-diagnosed). Worth a look at the Scottish national guideline (SIGN guideline 143[1]) On reflection, it is important to work out what should go in this article, and what is more relevant in the Epilepsy page - it's not easy!!. Kitb (talk) 01:31, 7 November 2018 (UTC)
- ^ "SIGN 143 Diagnosis and management of epilepsy in adults". www.sign.ac.uk. Retrieved 7 November 2018.
Thank you for your comments! I have changed some of the language to make it more lay. Given that I am updating the "Epidemiology" section, I have consulted with my tutor and we have decided not to add information on risk factors and causes into this paragraph. ~~~~