{"id":1063,"date":"2021-03-10T16:47:54","date_gmt":"2021-03-10T16:47:54","guid":{"rendered":"https:\/\/ring20researchsupport.co.uk\/?page_id=1063"},"modified":"2021-05-12T14:30:12","modified_gmt":"2021-05-12T13:30:12","slug":"how-to-treat-r20","status":"publish","type":"page","link":"https:\/\/ring20researchsupport.co.uk\/es\/for-medics-researchers\/how-to-treat-r20\/","title":{"rendered":"C\u00f3mo tratar r(20)"},"content":{"rendered":"
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Las convulsiones normalmente no responden a la neuroestimulaci\u00f3n m\u00e9dica, diet\u00e9tica o y actualmente no existe un tratamiento recomendado para el s\u00edndrome r(20). Hay informes de la eficacia de la dieta cetog\u00e9nica y la estimulaci\u00f3n del nervio vago en casos individuales; sin embargo, otros casos no responden a estos tratamientos y no hay pruebas suficientes.<\/p>

Debe evitarse la politerapia, ya que aumenta el riesgo de efectos secundarios y no es probable que mejore el control de las convulsiones.<\/p>

A menudo, no es necesario tratar todos los episodios de NCSE que pueden durar minutos, horas o incluso d\u00edas, ya que los pacientes normalmente se recuperan espont\u00e1neamente. El uso de medicamentos de rescate (emergencia) puede ser ineficaz y, si se usa regularmente, puede causar sedaci\u00f3n y afectar significativamente la calidad de vida.<\/p>

En este s\u00edndrome se ha informado muerte s\u00fabita inesperada, por lo que las decisiones de no prescribir medicamentos deben tener esto en cuenta.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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RECOMENDACIONES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Protocolos de emergencia individualizados<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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Se deben elaborar planes de tratamiento individualizados para:<\/p>

  • convulsiones prolongadas<\/li>
  • estado epil\u00e9ptico convulsivo<\/li>
  • estado epil\u00e9ptico no convulsivo (NCSE)<\/li><\/ul><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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    Proporcionar al paciente y\/o cuidador:<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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    • Consejos de seguridad, especialmente en relaci\u00f3n con el "estado de confusi\u00f3n" asociado con episodios de NCSE<\/li>
    • SUDEP gesti\u00f3n de riesgos<\/li>
    • Asesoramiento gen\u00e9tico<\/li>
    • Requisitos de apoyo para pacientes, cuidadores y empleadores (evaluaci\u00f3n neuropsicol\u00f3gica, orientaci\u00f3n, apoyo psiqui\u00e1trico potencial)<\/li><\/ul><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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      Revise el impacto de las convulsiones, los medicamentos y las comorbilidades en:<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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      • Actividades del d\u00eda a d\u00eda<\/li>
      • El bienestar general<\/li>
      • Salud mental<\/li>
      • Salud f\u00edsica<\/li>
      • Independencia<\/li>
      • Salud biol\u00f3gica y psiqui\u00e1trica Comportamiento<\/li><\/ul><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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        comorbilidades<\/h3>

        Hasta el inicio de las convulsiones, el desarrollo infantil parece ser normal, sin embargo, a menudo sigue una r\u00e1pida disminuci\u00f3n de la funci\u00f3n intelectual. Las habilidades adquiridas anteriormente pueden perderse. Esta disminuci\u00f3n de la capacidad var\u00eda desde perder algunas habilidades pero permanecer en el rango normal para la funci\u00f3n intelectual hasta una p\u00e9rdida significativa de habilidades que incluye dificultades con la movilidad y p\u00e9rdida de las funciones del habla y el lenguaje. El s\u00edndrome r(20) se asocia con una encefalopat\u00eda epil\u00e9ptica en momentos de mal control de las convulsiones.<\/p>

        Es probable que se requiera apoyo en la escuela\/universidad y en el lugar de trabajo. Se informan problemas de comportamiento, como episodios de agresi\u00f3n antes y\/o despu\u00e9s de una convulsi\u00f3n. Muchas personas desarrollan caracter\u00edsticas autistas. Predecir qu\u00e9 tan severos ser\u00e1n los problemas de aprendizaje y comportamiento en el futuro no es posible al inicio de la epilepsia.<\/p>

        En general, aproximadamente la mitad de los pacientes pueden tener un cociente de inteligencia evaluado en el rango normal cuando son adultos, pero muchos de ellos pueden haber tenido una disminuci\u00f3n relativa de sus capacidades cognitivas durante la infancia.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

        Seizures do not typically respond to medical, dietary or neurostimulation and there is currently no recommended treatment for r(20) syndrome. There are reports of efficacy of the ketogenic diet and vagal nerve stimulation in individual cases however other cases do not respond to these treatments and there is insufficient evidence. Polytherapy should be avoided as […]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":76,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1063","page","type-page","status-publish","hentry"],"yoast_head":"\nHow to treat r(20) - Ring20 Research and Support UK CIO<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ring20researchsupport.co.uk\/es\/for-medics-researchers\/how-to-treat-r20\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How to treat r(20) - Ring20 Research and Support UK CIO\" \/>\n<meta property=\"og:description\" content=\"Seizures do not typically respond to medical, dietary or neurostimulation and there is currently no recommended treatment for r(20) syndrome. 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