Epilepsy in Down Syndrome : A Highly Prevalent Comorbidity
Altuna-Azkargorta, Miren (Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas)
Giménez, Sandra (Institut d'Investigació Biomèdica Sant Pau)
Fortea, Juan (Fundació Catalana Síndrome de Down)
Universitat Autònoma de Barcelona

Fecha:	2021
Resumen:	Individuals with Down syndrome (DS) have an increased risk for epilepsy during the whole lifespan, but especially after age 40 years. The increase in the number of individuals with DS living into late middle age due to improved health care is resulting in an increase in epilepsy prevalence in this population. However, these epileptic seizures are probably underdiagnosed and inadequately treated. This late onset epilepsy is linked to the development of symptomatic Alzheimer's disease (AD), which is the main comorbidity in adults with DS with a cumulative incidence of more than 90% of adults by the seventh decade. More than 50% of patients with DS and AD dementia will most likely develop epilepsy, which in this context has a specific clinical presentation in the form of generalized myoclonic epilepsy. This epilepsy, named late onset myoclonic epilepsy (LOMEDS) affects the quality of life, might be associated with worse cognitive and functional outcomes in patients with AD dementia and has an impact on mortality. This review aims to summarize the current knowledge about the clinical and electrophysiological characteristics, diagnosis and treatment of epileptic seizures in the DS population, with a special emphasis on LOMEDS. Raised awareness and a better understanding of epilepsy in DS from families, caregivers and clinicians could enable earlier diagnoses and better treatments for individuals with DS.
Ayudas:	Ministerio de Economía y Competitividad PI14/01126 Instituto de Salud Carlos III PI17/01019 Instituto de Salud Carlos III PI20/00836
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article de revisió ; recerca ; Versió publicada
Materia:	Down syndrome ; Aging ; Seizures ; Epilepsy ; Alzheimer's disease
Publicado en:	Journal of clinical medicine, Vol. 10 (june 2021) , ISSN 2077-0383

DOI: 10.3390/jcm10132776
PMID: 34202784

17 p, 4.1 MB

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