Epilepsy in time of COVID-19: A survey-based study
Open accessAbstract
OBJECTIVES: Collateral damage may occur in epilepsy management during the coronavirus (COVID-19) pandemic. We aimed to establish the impact of this pandemic on epilepsy patients in terms of patient-reported seizure control and emerging symptoms. MATERIALS & METHODS: This is a cross-sectional study including consecutive patients assessed by telephone contact in an epilepsy clinic during the first month of confinement. Demographic and clinical characteristics were recorded, and a 19-item questionnaire was systematically completed. Data regarding the impact of confinement, economic effects of the pandemic, and subjective perception of telemedicine were recorded. Additional clinical data were obtained in patients with a COVID-19 diagnosis. RESULTS: Two hundred and fifty-five patients were recruited: mean age 48.2 ± 19.8 years, 121 (47.5%) women. An increase in seizure frequency was reported by 25 (9.8%) patients. Sixty-eight (26.7%) patients reported confinement-related anxiety, 22 (8.6%) depression, 31 (12.2%) both, and 72 (28.2%) insomnia. Seventy-three (28.6%) patients reported a reduction in economic income. Logistic regression analysis showed that tumor-related epilepsy etiology [OR = 7.36 (95% CI 2.17-24.96)], drug-resistant epilepsy [OR = 3.44 (95% CI 1.19-9.95)], insomnia [OR = 3.25 (95% CI 1.18-8.96)], fear of epilepsy [OR = 3.26 (95% CI 1.09-9.74)], and income reduction [OR = 3.65 (95% CI 1.21-10.95)] were associated with a higher risk of increased seizure frequency. Telemedicine was considered satisfactory by 214 (83.9%) patients. Five patients were diagnosed with COVID-19, with no changes in seizure frequency. CONCLUSIONS: The COVID-19 pandemic has effects in epilepsy patients. Patients with tumor-related, drug-resistant epilepsy, insomnia, and economic difficulties are at a higher risk of increased seizure frequency. Telemedicine represents a suitable tool in this setting.
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Patients with epilepsy may be a high-risk group for developing more severe COVID-19 symptoms.
“they may be high-risk group for developing more severe symptoms with COVID-19”
From The Psychological Flexibility in Epilepsy Questionnaire (PFEQ): Psychometric properties of the Persian version (2022) · cites this paper as [44]
The Discussion (section 4; page not provided) explicitly says epilepsy has not been identified as a risk factor for severe COVID-19. Although all five confirmed cases in the survey required hospitalization, the authors suggest their severe outcomes were related to other clinical risk factors rather than epilepsy itself. (LLM, conf=0.88)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredThe COVID-19 pandemic has been an additional challenge for patients with epilepsy.
“Studies targeting patients with epilepsy during the COVID-19 pandemic show that the COVID-19 pandemic has been an additional challenge for those who suffer from epilepsy”
From The Psychological Flexibility in Epilepsy Questionnaire (PFEQ): Psychometric properties of the Persian version (2022) · cites this paper as [44]
Pandemic-related restrictions create an additional social and psychological burden for patients with epilepsy.
“pandemic-related restrictions create an additional social and psychological burden for patients with epilepsy”
From The Psychological Flexibility in Epilepsy Questionnaire (PFEQ): Psychometric properties of the Persian version (2022) · cites this paper as [44]
Patients with epilepsy have less access to medical care due to collapse of healthcare services.
“they have less access to medical care due to collapse of the healthcare services [44–46]”
From The Psychological Flexibility in Epilepsy Questionnaire (PFEQ): Psychometric properties of the Persian version (2022) · cites this paper as [44]
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- Authors
- Fonseca, E., Quintana, M., Lallana, S., Luis Restrepo, J., Abraira, L., Santamarina, E., Seijo‐Raposo, I., & Toledo, M.
- Affiliations
- Universitat Autònoma de Barcelona (ES)
- Epilepsy Unit Neurology Department Vall d’Hebron University Hospital Barcelona Spain
- Corresponding author
- Santamarina, Estevo
- ORCID
- Venue
- Acta Neurologica Scandinavica
- Publisher
- Wiley
- Published
- 2020-09-06
- Volume
- 142
- Issue
- 6
- Pages
- 545-554
- ISSN
- 0001-6314 (ISSN-L)
- 1600-0404
- PMC
- PMC7460986
- OpenAlex
- W3049743666
- Cited by
- 94
- References
- 24
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 10 · 2023: 13 · 2022: 26 · 2021: 35 · 2020: 6
- FWCI
- 14.59
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Acta Neurologica Scandinavica (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- UCB Pharma
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
- Keywords
- epilepsy, COVID-19 pandemic, seizure frequency, telemedicine, confinement, anxiety, depression, insomnia, economic hardship, drug-resistant epilepsy, tumor-related epilepsy, risk factors
- MeSH terms
- Symptom Flare Up, COVID-19, SARS-CoV-2, Adult, Aged, Cross-Sectional Studies, Epilepsy, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Young Adult
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