Fatigue.

-Definition Emotional stress and worries.

Chronic neurological disorder Hypoglycemia (decreased blood sugar
characterized by recurrent electrical levels).
discharges of neurons that may or may High fever, especially in children under 4
years of age.
not cause seizures in the person,
Failure to take medication.
according to Palacios L.:
Twinkles.

The Epilepsy
“Epileptic seizures can be convulsive and seizures.
non-convulsive. The first are those in
which there is movement (for example,
¿How is epilepsy diagnosed?
The basis for diagnosing epilepsy is a thorough
partial motor seizures or generalized medical history taken from both patients and
tonic-clonic seizures). In non-convulsive witnesses to seizures.
cases there is no movement, but there are
In addition, we rely on several complementary
also abnormal discharges, responsible for examinations:
the observed phenomenon.”
1. Electroencephalogram (EEG). This is a specific test
(Palacios.L,1999,page 1) for diagnosis, as it allows us to analyse the brain

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-Prevalence
In our midst, your prevalence is close to!15 per
activity of the person in real time. It is useful for
confirming the suspected diagnosis of epilepsy, but a
thousand, while for example in the United
State of North America close to 3 per thousand.
It is an entity that In most cases it starts in the
childhood. Loiseau and Jallon point out about
50% of crises appear before 10 years of age,
44% before the age of 5, 30% between the
ages of 10 and 29 years old and 75% before 20
years. (Palacios.L,1999,page 2)
-Symptoms
Sleep disorders: deprivation or decrease.
You have to get a regular sleep schedule. If
this is not possible, you should try to sleep
normal EEG does not exclude the diagnosis.
A more complex and very useful variant is continuous
video-EEG monitoring. This system records the patient's
image in synchrony with the digital recording of
electroencephalographic activity, which makes it possible
to differentiate epileptic seizures from other types of non-
epileptic episodes, as well as to locate the area of the brain
that is the source of epileptic seizures. For this purpose,
patients are admitted to a specially prepared room for
several days. This study is indicated for the diagnosis and
classification of seizures and the pre-surgical study in
patients who may undergo surgery.
2. Magnetic resonance imaging (MRI) of the brain.
This is a radiological test that does not emit
radiation and allows the identification of brain
lesions that cause epilepsy.

at least 8 hours each day. 3. PET/SPECT. These are Nuclear Medicine tests used
in complex epilepsies that help to locate the areas of
the brain that cause the seizures.
 Number of cases Recommendations
-Worldwide:
There are about 50 million people:
Americas region: approximately
30 million people.
African region: Approximately 14
million people.
Eastern Mediterranean Region:
Approximately 5 million people.
Western Pacific Region:
Approximately 7 million people.
European Region: Approximately
6 million people.
-National level:
1.3 million people in Colombia suffer
from epilepsy is the fourth cause of
neurological consultation in the
country.
Locally:
Meta: According to DANE's
Vital Statistics Yearbook 2021,
2,244 cases of epilepsy were
registered in Meta.
Villavicencio: There are no
specific data on the prevalence
of epilepsy in Villavicencio.
It is estimated that about 10,000
people in the city may have
epilepsy.
REFERENCE:
I. Controlled clinical trials, prospective, with
-Cuidados de un paciente con epilepsia. (s. f.).
https://www.cun.es.
blind evolution carried out on population https://www.cun.es/enfermedades-
representative Systematic trials reviews
population-controlled clinical trials tratamientos/cuidados-casa/cuidados-epilepsia
representative In both, the following are
required
characteristics: -Epilepsia: Causas, síntomas y pronóstico.
a) Random sampling Clínica Universidad de Navarra. (s. f.).
b) Clearly defined objectives https://www.cun.es.
c) Exclusion/inclusion criteria clearly defined
d) Adequate control of losses follow-up https://www.cun.es/enfermedades-
e) The basal characteristics of the patients are tratamientos/enfermedades/epilepsia
explicit in the text andequivalents between
groups or differences have been adjusted
statistically -Mercadé Cerdá, J. M., Toledo Argani, M., Mauri
Level II. Prospective cohort studies in a Llerda, J. A., López Gonzalez, F. J., Salas Puig,
representative population with evolution X., & Sancho Rieger, J. (2016). Guía oficial de la
blind who meets criteria a-e
Controlled clinical trials, prospective, with Sociedad Española de Neurología de práctica
blind evolution clínica en epilepsia.
carried out on population representative that
does not comply with any of the criteria a-e Neurologia(Barcelona,Spain),31(2),121–129.
Level II. All other controlled studies in a https://doi.org/10.1016/j.nrl.2013.12.020
representative population, in which
evolution is independent of patient treatment.
Level IV. Uncontrolled studies, case -OMS (Organización Mundial de la Salud)
series,isolated cases or expert opinions
Graduation of recommendations Grade A Epilepsia. (n.d.). Paho.org. Retrieved March 5,
Definitely Recommendation effective,
ineffective or dangerous Requires at least one 2024,from
study conclusive level I or 2 studies https://www.paho.org/es/temas/epilepsia
convincing level ii Grade B Recommendation
probably effective, ineffective or dangerous
Requires at least one study conclusive level ii -Palacios Sánchez, Leonardo. (1999).
or several studies
level iii EPILEPSIA. Revista Colombiana de Psiquiatría,
Grade C Possibly effective recommendation, 28 (2), 146-156. Recuperado el 02 de marzo de
ineffective, or dangerous. Requires at least 2
studies conclusive level iii GE-SEN 2024,
Recommendation eventually effective, dehttp://www.scielo.org.co/scielo.phpscript=sci
ineffective, or dangerous Does not meet the
minimum requirements for grade C but it is a _arttext&pid=S003474501999000200007&lng
recommendation of consensus on the part of =en&tlng=es.
the members of the CPG development group