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LIVING WITH EPILEPSY/SCHOOL: LEARNING AND BEHAVIOR –MARTHA’S PSYCHOLOGICAL AND SOCIAL PROBLEMS

“Martha’s grades are terrible. She was a solid B’ student until her seizure, and since then she doesn’t even finish her homework. Her last report card was C’s and D’s, and she now says that she wants to drop out of school and get a job. Could this be due to her medicine?”
In Martha’s case, as in Joshua’s, there are many potential sources for her problems. Puberty, boys, home problems, changes in school, depression, concern and embarrassment over her seizures could all affect school work and should be explored in talking with Martha. We would check the blood level and lower it if it was high. If not, we would strongly consider changing to another medicine. While phenobarbital and phenytoin are the medications that most frequently affect learning, such effects can follow use of any of the medications. Even as we were lowering or changing the medicine, we would explore with Martha what she knows about seizures and her reaction to them. We would want to know how seizures have changed her lifestyle and her sense of self-esteem. We would ask about symptoms of depression and try to help her cope better with her epilepsy, whether or not this was the cause of her school problems.
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LIVING WITH EPILEPSY/SCHOOL: LEARNING AND BEHAVIOR –MARTHA’S PSYCHOLOGICAL AND SOCIAL PROBLEMS”Martha’s grades are terrible. She was a solid B’ student until her seizure, and since then she doesn’t even finish her homework. Her last report card was C’s and D’s, and she now says that she wants to drop out of school and get a job. Could this be due to her medicine?”In Martha’s case, as in Joshua’s, there are many potential sources for her problems. Puberty, boys, home problems, changes in school, depression, concern and embarrassment over her seizures could all affect school work and should be explored in talking with Martha. We would check the blood level and lower it if it was high. If not, we would strongly consider changing to another medicine. While phenobarbital and phenytoin are the medications that most frequently affect learning, such effects can follow use of any of the medications. Even as we were lowering or changing the medicine, we would explore with Martha what she knows about seizures and her reaction to them. We would want to know how seizures have changed her lifestyle and her sense of self-esteem. We would ask about symptoms of depression and try to help her cope better with her epilepsy, whether or not this was the cause of her school problems.*249\208\8*
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COPING WITH THE UNCERTAINTIES OF SEIZURES AND EPILEPSY: CEREBRAL PALSY

Cerebral palsy (CP) is a condition in which the body’s control of motor movements or posture is abnormal. It is caused by damage within the motor areas of the brain or spinal cord that has occurred before or during birth or during childhood. It is not caused by a tumor or by degeneration of the nervous system. Cerebral palsy is not progressive; it does not continue to become worse, although it may become more obvious or its symptoms may vary slightly as the child matures.
“Will my child who has cerebral palsy be retarded? Will he have epilepsy?”
Not quite half of the children with cerebral palsy are retarded to some degree; a number of others may have behavior and learning problems. A number have no such problems, and are of normal intelligence; indeed, some have superior intelligence. Approximately one in three children with cerebral palsy will also have epilepsy, but few children with epilepsy will have cerebral palsy. Epilepsy does not cause cerebral palsy; it does not cause mental retardation. Nor does cerebral palsy cause epilepsy. When cerebral palsy and epilepsy do occur together, underlying damage to the brain has caused both.
There are various forms of cerebral palsy, and the present classification is far from satisfactory.
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COPING WITH THE UNCERTAINTIES OF SEIZURES AND EPILEPSY: CEREBRAL PALSYCerebral palsy (CP) is a condition in which the body’s control of motor movements or posture is abnormal. It is caused by damage within the motor areas of the brain or spinal cord that has occurred before or during birth or during childhood. It is not caused by a tumor or by degeneration of the nervous system. Cerebral palsy is not progressive; it does not continue to become worse, although it may become more obvious or its symptoms may vary slightly as the child matures.”Will my child who has cerebral palsy be retarded? Will he have epilepsy?”Not quite half of the children with cerebral palsy are retarded to some degree; a number of others may have behavior and learning problems. A number have no such problems, and are of normal intelligence; indeed, some have superior intelligence. Approximately one in three children with cerebral palsy will also have epilepsy, but few children with epilepsy will have cerebral palsy. Epilepsy does not cause cerebral palsy; it does not cause mental retardation. Nor does cerebral palsy cause epilepsy. When cerebral palsy and epilepsy do occur together, underlying damage to the brain has caused both.There are various forms of cerebral palsy, and the present classification is far from satisfactory.*198\208\8*

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