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Preventing Recurrent Seizures, Suspected Child Abuse, Bariatric Surgery for Treatment of Diabetes

Key Clinical Questions and Evidence-Based Answers from American Family Physician
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American Family Physician | Clinical Answers
 

What can be done to prevent recurrent seizures after a first seizure in adults?

Approximately one-third of adults experience a second seizure within one year of an initial unprovoked seizure, and nearly one-half experience a second seizure within two years. Anti-seizure medications are recommended for patients with a high risk of seizure recurrence (e.g., patients with nighttime seizures, electroencephalography abnormalities, history of brain insult, brain imaging abnormalities) after risks and benefits of treatment have been considered. Anti-seizure medications reduce the risk of seizure recurrence by more than one-third at two years after a seizure. Recurrence rates are similar with or without medications after three years. Read the full article.

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What is the best approach to evaluating children in suspected cases of abuse?

A trauma-informed approach to evaluating, diagnosing, and treating child abuse within a multidisciplinary team is recommended. A trauma-informed approach to care requires that team members be mindful of the potential for traumatic stress, recognize and appropriately respond to the symptoms and signs of trauma, and prevent retraumatization. Read the full article.

Is bariatric surgery for adult obesity an effective treatment option for type 2 diabetes mellitus?

Yes. Remission of type 2 diabetes mellitus occurs in approximately 70% of metabolic surgery patients, and about 38% of surgical patients maintain remission at 10 years. Read the full article.

 

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