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Issue No. 2, 2011<br />
Josh Gordon<br />
Reaching for the stars!<br />
Is 3-D TV a seizure risk?<br />
Ingrid Scheffer honoured<br />
<strong>Epilepsy</strong> Without Words<br />
Winning pho<strong>to</strong>s!<br />
Meet<br />
Pauline Brockett<br />
Face2Face<br />
Japan’s brave response<br />
Latest SUDEP Book launched!<br />
Rosey Panelli<br />
International Ambassador<br />
for <strong>Epilepsy</strong> 2011
WELCOME<br />
Welcome <strong>to</strong> the latest edition of The <strong>Epilepsy</strong> Report.<br />
<strong>Epilepsy</strong> <strong>Australia</strong> congratulates two <strong>Australia</strong>n women who<br />
recently received international accolades for their individual work<br />
in epilepsy: Dr Ingrid Scheffer on being awarded the prestigious<br />
L’Oréal-UNESCO Women in Science Award for her groundbreaking<br />
research in<strong>to</strong> epilepsy over 20 years; and Dr Rosey<br />
Panelli on her Ambassador for <strong>Epilepsy</strong> Award for her work<br />
serving the <strong>Australia</strong>n epilepsy community over 16 years, including<br />
raising community awareness of epilepsy-related risks and death.<br />
Their dedication and commitment is inspiring.<br />
Also inspiring are Josh Gordon, the Oultram and Meers families,<br />
and Linc Kelly and his cycling team, as they, each in their own way,<br />
strive <strong>to</strong> overcome the challenges of epilepsy and raise awareness<br />
of epilepsy within their communities.<br />
On the international scene, we learn of the European<br />
Declaration on <strong>Epilepsy</strong>, of the PAHO Strategic Plan for <strong>Epilepsy</strong>,<br />
and how Japan’s epilepsy organisations bravely responded <strong>to</strong> the<br />
natural disasters that decimated northern Japan.<br />
SUDEP was the <strong>to</strong>pic of the Presidential Symposium, and<br />
the theme “<strong>Epilepsy</strong> Destroys Lives”, ran throughout the 29th<br />
International <strong>Epilepsy</strong> Congress, Rome. With SUDEP taking<br />
centre-stage, we felt as if we had finally climbed that mountain.<br />
For the many who have worked tirelessly on raising awareness<br />
of SUDEP over the past 16 years, <strong>to</strong> witness the room filled <strong>to</strong><br />
capacity was indeed satisfying – as was the successful launch<br />
of our latest publication, Sudden Unexpected Death in <strong>Epilepsy</strong>:<br />
continuing the global conversation with over 2000 copies freely<br />
distributed <strong>to</strong> delegates from all over the world. This book is<br />
available at www.sudepglobalconversation.com<br />
Edi<strong>to</strong>r<br />
Denise Chapman<br />
Contributing Edi<strong>to</strong>rs<br />
Robert Cole, Dr Robert Mittan<br />
Dr Frank Vajda,<br />
Dr Christine Walker<br />
Contribu<strong>to</strong>rs<br />
Dr Michelle Bellon,<br />
Nenia Travou,<br />
Alinka Thimm,<br />
Pho<strong>to</strong>graphy<br />
Dreamstime.com,<br />
iSkate Productions<br />
Print Pegasus Print Group<br />
The <strong>Epilepsy</strong> Report is published<br />
by <strong>Epilepsy</strong> <strong>Australia</strong> Ltd<br />
818 Burke Road<br />
Camberwell VIC 3124 <strong>Australia</strong><br />
Tel: 02 9674 9966<br />
epilepsy@epilepsyaustralia.net<br />
www.epilepsyaustralia.net<br />
cover: Dr Rosemary Panelli<br />
Views expressed and information<br />
included herein do not necessarily<br />
reflect official policies of <strong>Epilepsy</strong><br />
<strong>Australia</strong>. Articles covering<br />
medical aspects are not intended<br />
<strong>to</strong> replace competent medical, or<br />
other health professional advice.<br />
All content is copyright and may<br />
not be reproduced without prior<br />
permission. Contributions are<br />
welcome. The Edi<strong>to</strong>r reserves the<br />
right <strong>to</strong> edit content for reasons of<br />
space or clarity.<br />
<strong>Epilepsy</strong> <strong>Australia</strong> Affiliates:<br />
<strong>Epilepsy</strong> ACT<br />
<strong>Epilepsy</strong> Queensland Inc<br />
<strong>Epilepsy</strong> Association of SA/NT<br />
<strong>Epilepsy</strong> Association of Tasmania<br />
<strong>Epilepsy</strong> Foundation of Vic<strong>to</strong>ria<br />
<strong>Epilepsy</strong> Association of WA<br />
National <strong>Epilepsy</strong> Helpline<br />
1300 852 853<br />
CONTENTS<br />
PLUS<br />
3<br />
7<br />
11<br />
14<br />
<strong>Australia</strong>n women honoured 3<br />
Psychosocial effects of psychogenic non-epileptic<br />
seizures (PNES) 4<br />
Is 3-D TV a seizure risk? 7<br />
SUDEP: continuing the conversation launch 9<br />
Linc Kelly & the Ride4<strong>Epilepsy</strong> 10<br />
Izla’s Purple Crusade 11<br />
Happy Endings – The Oultram Family 12<br />
Women’s <strong>Epilepsy</strong> Network 13<br />
Josh Gordon – Reaching for the stars 14<br />
Winners ‘<strong>Epilepsy</strong> Without Words’ Competition 16<br />
International declarations on epilepsy 18<br />
9th AOEC, Manila, Philippines 19<br />
Japan’s brave response 20<br />
Consumer updates 21<br />
From the library 22<br />
Face2Face with Pauline Brockett 23<br />
<strong>Australia</strong>n women honoured!<br />
Dr Rosey Panelli<br />
At the 29th International<br />
<strong>Epilepsy</strong> Congress in Rome,<br />
the International Bureau for <strong>Epilepsy</strong><br />
(IBE) and the International League<br />
Against <strong>Epilepsy</strong> (ILAE) presented<br />
Rosemary (Rosey) Panelli PhD, with an<br />
Ambassador for <strong>Epilepsy</strong> Award.<br />
Presented every 2 years, and with<br />
a maximum of 12 Awards presented<br />
at any one time, the Award is given<br />
<strong>to</strong> individuals in recognition of<br />
outstanding personal contributions<br />
<strong>to</strong> activities advancing the cause of<br />
epilepsy that have either been performed<br />
at an international level or have an<br />
international impact or significance. The<br />
Award is given for the lifetime of the<br />
recipient and the name of each recipient<br />
is added <strong>to</strong> the Ambassadors’ Hall of<br />
Fame maintained by IBE and ILAE.<br />
The 2011 nomination for Dr Panelli<br />
was submitted by Mr Mike Glynn,<br />
President of the International Bureau<br />
for <strong>Epilepsy</strong>, and acknowledged Dr<br />
Panelli’s contribution over 16 years <strong>to</strong><br />
the <strong>Australia</strong>n epilepsy community.<br />
During this time she has championed<br />
<strong>Australia</strong>n paediatric neurologist,<br />
Professor Ingrid Scheffer, is<br />
one of five international scientists<br />
<strong>to</strong> win the prestigious L’Oréal-<br />
UNESCO Women in Science Award<br />
for her ground-breaking research in<strong>to</strong><br />
epilepsy.<br />
Professor Scheffer has been awarded<br />
the title of Laureate for the Asia-<br />
Pacific region and is only the third<br />
<strong>Australia</strong>n <strong>to</strong> receive the award.<br />
Each year, five outstanding women<br />
the inclusion of peer support workers<br />
in epilepsy care teams, especially first<br />
seizure clinics and surgery programs,<br />
while her research demonstrated the<br />
model’s potential <strong>to</strong> enhance care. Rosey<br />
has persistently worked <strong>to</strong> improve<br />
community understanding of epilepsy<br />
-related risks and death, through the<br />
biennial Melbourne epilepsy memorial<br />
service and the publications of Sudden<br />
Unexpected Death in <strong>Epilepsy</strong>: a global<br />
conversation (2005, 2011) where Rosey<br />
was a key member of the edi<strong>to</strong>rial team.<br />
PROFESSOR INGRID SCHEFFER<br />
scientists globally are honoured by this<br />
international prize for the contributions<br />
they have made through their research,<br />
the strength of their commitment and<br />
their impact on society.<br />
Professor Scheffer holds a chair<br />
at the University of Melbourne, is<br />
a senior principal research fellow<br />
at Florey Neurosciences Institutes<br />
and is a paediatric neurologist and<br />
epilep<strong>to</strong>logist at Austin Health and the<br />
Royal Children’s Hospital.<br />
Devoting the last 20 years <strong>to</strong> clinical<br />
research focused on the genetics and<br />
different types of epilepsies, and on<br />
novel antiepileptic therapies, Professor<br />
Scheffer has identified many new<br />
forms of epilepsy and, <strong>to</strong>gether with<br />
molecular collabora<strong>to</strong>rs, identified the<br />
first epilepsy gene, and 13 of the 23<br />
genes currently known.<br />
Her expertise in defining epilepsy<br />
Dr Panelli receiving her award in Rome from<br />
Dr Solomon Moshé, President, ILAE and Mr Mike Glynn, President, IBE<br />
On receiving her award, Rosey said,<br />
“It is an honour <strong>to</strong> receive this award,<br />
and I am proud <strong>to</strong> be an ambassador for<br />
epilepsy. However, nothing has been<br />
achieved without the support of others.<br />
“It has been my privilege <strong>to</strong> work<br />
alongside people with epilepsy and<br />
their families, who encouraged my<br />
work and taught me so much about<br />
living with epilepsy. I have also been<br />
lucky <strong>to</strong> work with some very dedicated<br />
colleagues. This award also honours the<br />
commitment of all these people.”<br />
syndromes has led <strong>to</strong> her leadership<br />
role as Chair of the Commission for<br />
Classification of the Epilepsies by the<br />
International League Against <strong>Epilepsy</strong>.<br />
While she has received significant<br />
recognition in the past, her latest award<br />
is considered exceptional.<br />
“This is a true honour,” Prof Scheffer<br />
said. “I am thrilled <strong>to</strong> be recognised<br />
for my work in epilepsy as a clinician<br />
and scientist. Women in science face<br />
additional challenges juggling a career<br />
and family but if they are passionate<br />
about science, life can be incredibly<br />
rewarding. Of course I could not have<br />
done this without the contributions of<br />
my patients and their families, my many<br />
collabora<strong>to</strong>rs worldwide and my research<br />
team.”<br />
<strong>Epilepsy</strong> <strong>Australia</strong> congratulates<br />
Professor Scheffer on this prestigious<br />
recognition of her lifelong work.<br />
2 THE EPILEPSY REPORT DECEMBER 2011 THE EPILEPSY REPORT DECEMBER 2011 3
Alinka Thimm<br />
Dr Michelle Bellon<br />
The psychosocial effects of<br />
psychogenic non-epileptic<br />
seizures (PNES)<br />
Alinka Thimm & Dr Michelle Bellon<br />
Disability and Community Inclusion, School of Medicine,<br />
Flinders University<br />
What are Psychogenic Nonepileptic<br />
Seizures?<br />
A recent research study conducted<br />
by Flinders University explores the<br />
experience of a disability which is<br />
both hidden and lacks physiological<br />
‘evidence’; a condition which is not<br />
unders<strong>to</strong>od by health professionals,<br />
and results in individuals feeling<br />
confused and isolated. Psychogenic<br />
non-epileptic seizures (PNES) (also<br />
called pseudoseizures) are events<br />
resembling epileptic seizures, which<br />
are not associated with ictal electrical<br />
discharges in the brain but by<br />
psychological processes.<br />
PNES may be triggered by anxiety,<br />
psychological tension and heightened<br />
defence against intense emotions. In<br />
some cases PNES may be a result<br />
of psychological trauma, previous<br />
psychiatric his<strong>to</strong>ry, physical and sexual<br />
abuse or posttraumatic stress disorder<br />
(Fiszman, Alves-Leon, Nunes, Dandrea,<br />
& Figueira, 2004).<br />
Health professionals often overlook<br />
PNES due <strong>to</strong> the common misconception<br />
that they are “fake” (Benbadis, 2005)<br />
or are categorized as a “non-disease”<br />
(i.e. not epilepsy) (Bodde, et al., 2009).<br />
However, this is a very real condition,<br />
with considerable psychosocial<br />
implications. People diagnosed with<br />
PNES feel anger, shame, helplessness,<br />
and experience suicidal ideation<br />
(thinking about suicide with some<br />
intent but without actually making<br />
plans <strong>to</strong> commit suicide) (Thompson,<br />
Isaac, Rowse, Tooth, & Reuber, 2009).<br />
Stigma is often attached with this label,<br />
fuelled by poor understanding and<br />
little education and support following<br />
diagnosis (Benbadis, 2010).<br />
One complicating fac<strong>to</strong>r is that an<br />
individual may experience both PNES<br />
and epileptic seizures. 15% of people<br />
with diagnosed PNES also have epilepsy<br />
(Benbadis, 2010), and it is estimated<br />
that 10 <strong>to</strong> 50% of individuals with<br />
“intractable seizures” (seizures not<br />
adequately controlled by AEDs) have<br />
either lone PNES or a combination of<br />
epileptic seizures and PNES (LaFrance,<br />
et al., 2006). Co-morbidity can cause<br />
significant diagnostic and management<br />
issues, with health professionals often<br />
unable <strong>to</strong> accurately identify the cause<br />
of seizures, and thereby communicate<br />
and manage them appropriately. The<br />
current study aimed <strong>to</strong> further explore<br />
the psychosocial effects of PNES and<br />
their implications for the development<br />
of appropriate multidisciplinary support<br />
and management strategies.<br />
Research Study<br />
Four participants fulfilling selection<br />
criteria were recruited through the<br />
<strong>Epilepsy</strong> Association of SA and NT 1 .<br />
Data was collected through medical<br />
records and documentation, interviews,<br />
and completion of the Washing<strong>to</strong>n<br />
Psychosocial Seizure inven<strong>to</strong>ry (WPSI)<br />
(Dodrill, et al., 1980) by participants<br />
with PNES, their significant others and<br />
<strong>Epilepsy</strong> Counsellors.<br />
Semi-structured interviews were<br />
conducted with participants, their<br />
nominated significant other and <strong>Epilepsy</strong><br />
Counsellor <strong>to</strong> gather information on<br />
the participant’s experience of PNES,<br />
including their:<br />
experience of seizures,<br />
diagnosis,<br />
living situation,<br />
social, recreational and vocational<br />
activities, and<br />
interventions and support received.<br />
Interviews were recorded, transcribed<br />
and a thematic analysis conducted.<br />
1 Ethical approval for this study was granted<br />
by Flinders University’s Social and Behavioural<br />
Research Ethics Committee.<br />
Table 1. Participant Profiles (*pseudonyms have been used <strong>to</strong> maintain confidentiality)<br />
Participant Information Chelsea* Jason* Julia* Eric*<br />
Age 23 23 33 40<br />
Diagnosis PNES PNES PNES PNES, <strong>Epilepsy</strong><br />
Age at diagnosis of PNES 22 21 32 39<br />
Time from onset of seizures<br />
<strong>to</strong> diagnosis of PNES<br />
11 months 5 years 3 years 11 months<br />
Current seizures - - - PNES, <strong>Epilepsy</strong><br />
Medications - - - PHT, SV, DIA,<br />
LEV<br />
Employment status Employed Unemployed Employed Unemployed<br />
Relationship status Relationship Relationship Married Single<br />
Transport License L Plates License No License<br />
It should be noted that Chelsea, Julia and Jason were no longer experiencing PNES at the<br />
time of data collection, and were no longer taking anti-epileptic drugs (AED’s). It was evident<br />
throughout interviews conducted with participants that the psychosocial implications of their<br />
PNES changed dramatically according <strong>to</strong> seizure frequency and the intake of AED’s.<br />
Psychosocial Effects of PNES<br />
Impact of misdiagnosis<br />
Chelsea, Jason and Julia were initially<br />
misdiagnosed with epilepsy, and <strong>to</strong>ok<br />
AED’s until their diagnosis of PNES<br />
(mean of 2.64 years later). They felt<br />
medical professionals were continually<br />
increasing their medication doses,<br />
rather than seeking other management<br />
approaches.<br />
Julia: “they were just upping my drugs<br />
and changing my drugs and giving me<br />
more drugs.. And at the end of the day,<br />
the medication was probably making me<br />
more sick than anything else.”<br />
Jason: “Like when I asked for help and<br />
that.. he was oh yea try these pills.. yea<br />
try these ones.. have these ones.. here<br />
have these different ones.. try both of<br />
them at once!.. didn’t try anything but<br />
medication. Like they didn’t class it as<br />
anything else (but epilepsy).”<br />
There was a feeling of helplessness<br />
among participants; not being able <strong>to</strong><br />
find answers and feeling out of control.<br />
This has been noted in previous studies<br />
in which participants felt overpowered<br />
by their PNES and remained passive and<br />
helpless (Thompson, et al., 2009).<br />
Participants also experienced severe<br />
side effects which they believed were<br />
associated with the AED’s, including<br />
depression, weight gain, aggression,<br />
drowsiness, effects on memory and<br />
concentration, and suicide attempts.<br />
Chelsea and Julia both attempted suicide<br />
more than once, and Jason has often<br />
spoken of it. According <strong>to</strong> Kaufman<br />
and Struck (2010), individuals with<br />
PNES have an increased risk for suicide/<br />
suicide ideation compared with the<br />
general population. No studies have been<br />
identified which explore the rate and<br />
cause of suicide among this population<br />
and possible connections with AED<br />
intake.<br />
Receiving a diagnosis of PNES<br />
The diagnosis of PNES can be a<br />
double-edged sword, with participants<br />
experiencing enormous relief, but also<br />
anger and frustration relating <strong>to</strong> their<br />
misdiagnosis and associated side effects<br />
of AEDs. Julia and Eric reported a sense<br />
of abandonment from neurologists who<br />
gave them the diagnosis. Other studies<br />
report similar findings, where participants<br />
felt the shift from the diagnosis of<br />
epilepsy <strong>to</strong> PNES was accompanied by<br />
a transfer of responsibility from health<br />
professional <strong>to</strong> themselves (Karterud,<br />
Knizek, & Nakken, 2010).<br />
Julia: “he (neurologist) just <strong>to</strong>ld me<br />
that it was in my head… and... that it is<br />
probably stress and I <strong>need</strong> <strong>to</strong> go talk <strong>to</strong><br />
someone about it.”<br />
Eric: “they said that I had<br />
pseudoseizures and they can’t do nothing<br />
for them.”<br />
None of the participants in this study<br />
felt they received adequate information<br />
regarding PNES following the diagnosis;<br />
receiving only limited verbal information<br />
and no written information. There has<br />
been little research on what information<br />
is conveyed <strong>to</strong> individuals with PNES<br />
and how this influences the way they<br />
perceive their diagnosis. However, the<br />
issue of communicating the diagnosis<br />
of PNES has attracted considerable<br />
interest (Harden, 2001; Shen, Bowman,<br />
& Markand, 1990; Thompson, Osorio,<br />
& Hunter, 2005). Farias, Thieman, and<br />
Alsaadi (2003) found that, in most cases,<br />
a detailed explanation of the PNES<br />
diagnosis <strong>to</strong> the individual reduced the<br />
frequency of subsequent non-epileptic<br />
seizures. This was seen in the cases of<br />
Chelsea, Jason and Julia, who all s<strong>to</strong>pped<br />
experiencing seizures since receiving<br />
a change of diagnosis from epilepsy <strong>to</strong><br />
PNES.<br />
Social experiences<br />
The social lives of participants were<br />
severely impacted by their experience<br />
of PNES, due <strong>to</strong> high seizure frequency<br />
and negative side effects of AEDs. Julia<br />
withdrew from her social circle, Chelsea<br />
and Jason felt abandoned by friends, and<br />
Eric felt people avoided him because<br />
of his seizures. Chelsea and Julia also<br />
avoided social situations in fear of not<br />
knowing when they were going <strong>to</strong> have<br />
a seizure, and felt friends didn’t want <strong>to</strong><br />
go out with them because of this. This is<br />
in consensus with research conducted by<br />
Car<strong>to</strong>n, Thompson and Duncan (2003),<br />
in which individuals with PNES reported<br />
social isolation and increased anxiety<br />
when engaging in everyday activities.<br />
Participants from this study also<br />
reported difficulty describing their<br />
diagnosis of PNES <strong>to</strong> others, and often<br />
felt their explanation was received with<br />
scepticism. This may reflect both their<br />
limited understanding of this diagnosis<br />
and the lack of education in the wider<br />
community. The sense that the legitimacy<br />
of their seizures and their psychological<br />
wellbeing was being scrutinized made<br />
participants feel socially uncomfortable.<br />
Julia’s experience of PNES has<br />
severely impacted her ability <strong>to</strong> parent<br />
her 3 <strong>you</strong>ng children, aged 7, 11 and<br />
13. When diagnosed with epilepsy and<br />
taking AEDs, Julia barely had the energy<br />
<strong>to</strong> provide adequate care for them. The<br />
impact of her PNES on her children was<br />
significant; they often witnessed her<br />
seizures and were required <strong>to</strong> call the<br />
ambulance on several occasions. She<br />
also struggled <strong>to</strong> provide for her family<br />
financially. She received no parenting<br />
support or psychological support for<br />
her children. The issue of parenting<br />
was not <strong>to</strong>uched on by any of the<br />
literature concerning PNES, but this was<br />
highlighted as an area of major concern in<br />
the case of Julia.<br />
4 THE EPILEPSY REPORT DECEMBER 2011 THE EPILEPSY REPORT DECEMBER 2011 5
Employment & education<br />
All participants lost either paid<br />
employment or volunteer work due<br />
<strong>to</strong> their seizures. However, following<br />
cessation of seizures, Chelsea and<br />
Julia both regained employment. Jason<br />
and Eric both receive the disability<br />
support pension as their main source<br />
of income. Eric still experiences high<br />
seizure frequency and is not actively<br />
seeking employment. The literature<br />
similarly suggests that seizure cessation<br />
is a significant predic<strong>to</strong>r of return<br />
<strong>to</strong> employment (Mayor, Howlett,<br />
Grünewald, & Reuber, 2010).<br />
Jason also discontinued his chef<br />
apprenticeship due <strong>to</strong> his high frequency<br />
of seizures (when misdiagnosed with<br />
epilepsy) and Chelsea, who was looking<br />
<strong>to</strong> further her studies, did not do so until<br />
she had her seizures under control.<br />
All participants were unable <strong>to</strong><br />
drive during times when they were<br />
experiencing high seizure frequency,<br />
which also limited employment and<br />
social opportunities. This has had<br />
particular negative implications for<br />
Jason, who does not have easy access<br />
<strong>to</strong> public transport. He is currently<br />
studying for his driver’s license so<br />
he can pursue further employment<br />
opportunities.<br />
Conclusion<br />
The following fac<strong>to</strong>rs were considered<br />
influential in the management of<br />
PNES and improving quality of life of<br />
participants in this study:<br />
Receiving an accurate diagnosis of<br />
PNES and being withdrawn from AEDs<br />
Understanding the diagnosis of<br />
PNES and possible triggers<br />
Ability <strong>to</strong> access and/or accept<br />
psychological support<br />
Presence of family and friends who<br />
understand PNES and recognize it as a<br />
legitimate condition requiring treatment<br />
and support<br />
According <strong>to</strong> this study, the most<br />
positive and influential fac<strong>to</strong>r was<br />
receiving an accurate diagnosis of<br />
PNES. Individuals with PNES <strong>need</strong><br />
<strong>to</strong> be assured that their condition<br />
is legitimate, and <strong>need</strong> <strong>to</strong> feel<br />
unders<strong>to</strong>od. This is crucial not only<br />
for the management of seizures, but<br />
for the preservation of a positive selfperception.<br />
The delay between seizure onset and<br />
PNES diagnosis <strong>need</strong>s <strong>to</strong> be minimized,<br />
followed by effective education and<br />
support <strong>to</strong> assist individuals and their<br />
families gain a greater understanding<br />
of PNES and manage their condition.<br />
Evidence suggests this increases<br />
confidence, social involvement and<br />
quality of life for this population.<br />
References<br />
Benbadis, S. (2010). Psychogenic Nonepileptic<br />
Seizures. Retrieved 16th June, 2010: http://<br />
emedicine.medscape.com/article/1184694overview<br />
Benbadis, S. R. (2005). The problem of<br />
psychogenic symp<strong>to</strong>ms: is the psychiatric<br />
community in denial? <strong>Epilepsy</strong> & Behavior, 6,<br />
9-14.<br />
Bodde, N. M. G., Brooks, J. L., Baker, G.<br />
A., Boon, P. A. J. M., Hendriksen, J. G. M., &<br />
Aldenkamp, A. P. (2009). Psychogenic nonepileptic<br />
seizures--Diagnostic issues: A critical<br />
review. Clinical Neurology and Neurosurgery,<br />
111(1), 1-9.<br />
Dodrill, C. B., Batzel, L. W., Queisser, H. R.,<br />
& Temkin, N. R. (1980). An Objective Method<br />
for the Assessment of Psychological and Social<br />
Problems Among Epileptics. Epilepsia, 21(2),<br />
123-135.<br />
Fiszman, A., Alves-Leon, S. V., Nunes, R.<br />
G., Dandrea, I., & Figueira, I. (2004). Traumatic<br />
events and posttraumatic stress disorder in<br />
patients with psychogenic nonepileptic seizures:<br />
a critical review. <strong>Epilepsy</strong> & Behavior, 5(6), 818-<br />
825.<br />
Karterud, H. N., Knizek, B. L., & Nakken, K.<br />
O. (2010). Changing the diagnosis from epilepsy<br />
<strong>to</strong> PNES: Patients’ experiences and understanding<br />
of their new diagnosis. Seizure, 19(1), 40-46.<br />
Kaufman, K. R., & Struck, P. J. (2010).<br />
Psychogenic nonepileptic seizures and suicidal<br />
behavior on a video/EEG telemetry unit: The<br />
<strong>need</strong> for psychiatric assessment and screening for<br />
suicide risk. <strong>Epilepsy</strong> & Behavior, 19(4), 656-659.<br />
LaFrance Jr, W. C., Alper, K., Babcock, D.,<br />
Barry, J. J., Benbadis, S., Caplan, R., et al. (2006).<br />
Nonepileptic seizures treatment workshop<br />
summary. <strong>Epilepsy</strong> & Behavior, 8(3), 451-461.<br />
Mayor, R., Howlett, S., Grünewald, R., &<br />
Reuber, M. (2010). Long-term outcome of brief<br />
augmented psychodynamic interpersonal therapy<br />
for psychogenic nonepileptic seizures: Seizure<br />
control and health care utilization. Epilepsia,<br />
51(7), 1169-1176.<br />
Thompson, R., Isaac, C. L., Rowse, G., Tooth,<br />
C. L., & Reuber, M. (2009). What is it like <strong>to</strong><br />
receive a diagnosis of nonepileptic seizures?<br />
<strong>Epilepsy</strong> & Behavior, 14(3), 508-515.<br />
<strong>Epilepsy</strong> and the<br />
Workplace: A guide for<br />
workers and employers<br />
This guide aims <strong>to</strong> provide an easy <strong>to</strong><br />
<strong>read</strong> introduction <strong>to</strong> the legal issues<br />
relating <strong>to</strong> epilepsy and employment.<br />
It includes information for workers with<br />
epilepsy and employers on their rights<br />
and responsibilities in the workplace.<br />
It also explains the legal options<br />
available for people with epilepsy who<br />
feel they have been unfairly treated in<br />
employment matters.<br />
The guide focuses on two main<br />
areas of the law workplace and<br />
anti-discrimination law. It then briefly<br />
discusses the emerging field of human<br />
rights law and the rights relevant <strong>to</strong> the<br />
workplace. In most of these areas the<br />
laws discussed apply throughout all of<br />
<strong>Australia</strong>. However, state and terri<strong>to</strong>ry<br />
laws often operate concurrently and<br />
these may create additional legal rights<br />
and responsibilities. Also these different<br />
areas of law often overlap and interact<br />
with each other.<br />
While this guide focuses on legal rights<br />
and remedies, this is not <strong>to</strong> suggest<br />
these are the only paths available <strong>to</strong><br />
workers and employers dealing with<br />
epilepsy in the workplace. However,<br />
an understanding of legal rights and<br />
responsibilities encourages a more<br />
informed and fair workplace.<br />
This guide has been prepared under<br />
the supervision of Jacinta Cummins<br />
and Cesira Costello of the <strong>Epilepsy</strong><br />
Association of the ACT, an affiliate of<br />
<strong>Epilepsy</strong> <strong>Australia</strong>.<br />
A copy of <strong>Epilepsy</strong> and the<br />
Workplace: A guide for workers and<br />
employers can be downloaded at<br />
www.epilepsyaustralia.net<br />
Children with epilepsy do not<br />
appear <strong>to</strong> face an increased risk for<br />
seizures while watching 3-D TV, a new<br />
German-Austrian study suggests.<br />
However, the results did reveal that<br />
about one in five of these children is<br />
vulnerable <strong>to</strong> other unpleasant reactions<br />
when viewing 3-D television, including<br />
nausea, headaches and dizziness.<br />
“Normal people have a very low risk<br />
<strong>to</strong> get a seizure while watching 3-D,”<br />
explained study author Dr. Herbert<br />
Plischke, executive direc<strong>to</strong>r of the<br />
University of Munich’s Generation<br />
Research Program. In contrast, he noted<br />
that people with epilepsy – particularly<br />
children – could be expected <strong>to</strong> have<br />
a “higher vulnerability” in terms of<br />
overall seizure risk in such a setting.<br />
However, among a group of <strong>you</strong>ng<br />
people with epilepsy, “we could not see<br />
any provoked seizure which was caused<br />
by 3-D,” Plischke said.<br />
He and his colleagues from the<br />
University of Salzburg in Austria are<br />
presented their findings at the American<br />
<strong>Epilepsy</strong> Society annual meeting in<br />
Baltimore.<br />
As a concept, 3-D technology is hardly<br />
a cutting-edge idea, harkening back<br />
more than half a century <strong>to</strong> the 1950s<br />
Vincent Price classic film “House of<br />
Wax.” But the experience of donning<br />
special glasses <strong>to</strong> view an “extradimensional”<br />
effect has undergone a<br />
cinematic renaissance in recent years,<br />
led by the box-office success of the<br />
movie “Avatar.”<br />
Jumping on the bandwagon, TV<br />
manufacturers have sought <strong>to</strong> bring<br />
the experience right in<strong>to</strong> the living<br />
room, with TV sets that are hard-wired<br />
<strong>to</strong> provide 3-D viewing of properly<br />
formatted shows.<br />
The move has raised concerns over<br />
how the technology may impact various<br />
audiences. Recently, some researchers<br />
cautioned that nearly one-third of all<br />
viewers may be prone <strong>to</strong> experiencing<br />
headaches and/or eye fatigue when<br />
viewing a 3-D movie because of poor<br />
eye coordination. The resulting strain,<br />
they said, could prompt an unpleasant<br />
experience equivalent <strong>to</strong> that of<br />
seasickness.<br />
People with epilepsy are a more<br />
specific worry, given their sensitivity<br />
<strong>to</strong> the flashing lights and red and blue<br />
light alterations contained in certain<br />
TV programming and video games.<br />
As a result, some TV manufacturers<br />
(such as Samsung) have published<br />
public warnings, alerting viewers <strong>to</strong> the<br />
potential risk for epileptic seizures or<br />
stroke when viewing 3-D technology.<br />
Against that backdrop, the current<br />
investigation set out <strong>to</strong> assess the impact<br />
of 3-D on children with epilepsy viewing<br />
the technology on TV.<br />
The team focused on 100 children<br />
(average age 12) who had epilepsy or<br />
were deemed <strong>to</strong> be at risk for epilepsy.<br />
All the kids underwent a standard<br />
test for pho<strong>to</strong>sensitivity. Each was then<br />
asked <strong>to</strong> wear 3-D glasses and sit about<br />
six-and-a-half feet away from a 50-inch<br />
3-D TV:<br />
a seizure risk?<br />
plasma 3-D TV.<br />
During 15 minutes of viewing, only<br />
one child experienced a seizure, and that<br />
particular child was noted as being prone<br />
<strong>to</strong> routinely experiencing three <strong>to</strong> four<br />
seizures per day.<br />
Symp<strong>to</strong>ms of nausea, headache<br />
and dizziness went up during both<br />
pho<strong>to</strong>sensitivity testing and 3-D<br />
TV-watching (in 15 percent and 20<br />
percent of cases, respectively). But the<br />
near <strong>to</strong>tal absence of seizures, combined<br />
with the benign results of EEG <strong>read</strong>ings<br />
taken during sensitivity testing and<br />
3-D viewing, led the team <strong>to</strong> conclude<br />
that 3-D TV viewing posed little risk <strong>to</strong><br />
children with epilepsy.<br />
The team suggested that seizure<br />
risk is probably more a function of<br />
differences in TV content rather than<br />
TV technology, with certain patterns,<br />
colours and flickering images raising the<br />
threat of seizure more than 3-D images.<br />
Dr. Orrin Devinsky, direc<strong>to</strong>r of NYU<br />
Langone Medical Center’s <strong>Epilepsy</strong><br />
Center, agreed.<br />
“It sounds perfectly in line with what<br />
I might expect,” he said. “If there was<br />
<strong>to</strong> be a problem, it would be with the<br />
content, namely flashing imagery. And<br />
that would be a present concern in 2-D<br />
or 3-D.”<br />
Alan Mozes, HealthDay<br />
6 THE EPILEPSY REPORT DECEMBER 2011 THE EPILEPSY REPORT DECEMBER 2011 7
“Keeping <strong>Epilepsy</strong> in Mind”<br />
A Community Awareness<br />
Campaign<br />
Spring got off <strong>to</strong> a good start for<br />
people with epilepsy in <strong>Australia</strong><br />
this year, with a community awareness<br />
campaign ‘KEEPING EPILEPSY IN<br />
MIND’. This campaign was supported<br />
by UCB Pharma and sporting champions<br />
with personal experience of epilepsy<br />
including Olympic cyclist Marion<br />
Clignet, Commonwealth cyclist John<br />
Trevorrow and ‘Joffa’ Corfe from the<br />
Collingwood Cheerleaders Squad.<br />
The aim of the campaign was <strong>to</strong> better<br />
inform the public about epilepsy and the<br />
<strong>need</strong>s of people with epilepsy, as well as<br />
launching the Longitudinal Survey as a<br />
nationwide project. Newly released data<br />
from the longitudinal study received<br />
wide attention through radio, television<br />
and newspapers.<br />
Professor Mark Cook was interviewed<br />
about the problems people with epilepsy<br />
face. Using the results of the most recent<br />
survey he said:<br />
“New data from the <strong>Epilepsy</strong> <strong>Australia</strong><br />
and <strong>Epilepsy</strong> Foundation of Vic<strong>to</strong>ria<br />
national epilepsy longitudinal study<br />
– Needs, perceptions and experiences<br />
of people with epilepsy – show more<br />
than one-in-two participants have been<br />
hospitalised or injured due <strong>to</strong> epileptic<br />
seizures,” said Prof Cook.<br />
Disturbingly, one-in-five research<br />
respondents had experienced more than<br />
20 seizures in just 12 months.<br />
More than half (52 per cent) of<br />
the research respondents living with<br />
epilepsy had experienced depression,<br />
highlighting the psychological <strong>to</strong>ll of the<br />
disorder,” Prof Cook said.<br />
“Furthermore, it was remarkable that<br />
one-in-two study participants reported<br />
unfair treatment in the workplace,<br />
school, community organisation, public<br />
place or at home due <strong>to</strong> their epilepsy.”<br />
We can see from Professor Cook’s<br />
words the value of the survey conducted<br />
in 2010.<br />
This valuable information continues<br />
<strong>to</strong> be derived from <strong>Australia</strong> <strong>Epilepsy</strong><br />
Research Register. Established in 2006<br />
as the Research Participant Register by<br />
the <strong>Epilepsy</strong> Foundation of Vic<strong>to</strong>ria, this<br />
now national register provides the basis<br />
for a longitudinal study <strong>to</strong> demonstrate<br />
the psycho-social impact of epilepsy<br />
across the whole of people’s lives in<br />
<strong>Australia</strong>. Two surveys or ‘waves’ have<br />
now been conducted in 2007 and 2010.<br />
Extensive data have been collected on<br />
income, housing, marital status, costs<br />
of care and quality of life. The current<br />
analysis explores access <strong>to</strong> epilepsy care<br />
and mobility issues.<br />
The results from Wave 2 of the<br />
longitudinal research conducted with<br />
people with epilepsy in a community<br />
setting relate <strong>to</strong> costs of healthcare,<br />
driving and transport related <strong>to</strong> income,<br />
age and gender.<br />
Surveys will be undertaken every<br />
two years exploring people’s incomes,<br />
housing option, employment status,<br />
costs of health care and quality of life<br />
issues. While giving a rare picture of<br />
how people live with epilepsy in the<br />
community the results will also provide<br />
evidence <strong>to</strong> argue for better government<br />
policies and assistance <strong>to</strong> people with<br />
epilepsy.<br />
Planning for research in the<br />
future<br />
HAVE YOUR SAY!<br />
At a recent Research Working Group<br />
meeting members discussed what future<br />
research would most benefit people with<br />
epilepsy. We decided <strong>to</strong> put the question<br />
<strong>to</strong> participants of the <strong>Australia</strong>n <strong>Epilepsy</strong><br />
Research Register. There are three<br />
broad areas that client services workers<br />
most often receive phone calls about.<br />
<strong>You</strong> can tell us which of these areas is<br />
most important for future research that<br />
will benefit all people with epilepsy in<br />
<strong>Australia</strong>.<br />
Please number each of the boxes from<br />
1 (the most important) <strong>to</strong> 3 (the least<br />
important) <strong>to</strong> give us <strong>you</strong>r response.<br />
□ Accepting the diagnosis and<br />
learning how <strong>to</strong> manage the<br />
condition<br />
□ Barriers/restrictions/exclusions<br />
from everyday opportunities<br />
and activities<br />
□ Falling between the gaps; not<br />
being eligible for funding and<br />
services.<br />
<strong>You</strong> can complete this page and return<br />
it <strong>to</strong>:<br />
Ms Pat McGuirk<br />
<strong>Epilepsy</strong> Foundation Vic<strong>to</strong>ria<br />
818 Burke Rd<br />
Camberwell, Vic<strong>to</strong>ria 3124<br />
Alternatively <strong>you</strong> can complete the<br />
form on-line on:<br />
http://www.surveymonkey.com/<br />
s/32LL87H<br />
It is with regret that we acknowledge<br />
the passing of Ms Ira Effrett who<br />
worked for many years with <strong>Epilepsy</strong><br />
Foundation Vic<strong>to</strong>ria. She was a<br />
passionate worker with people with<br />
epilepsy in regional Vic<strong>to</strong>ria. We send<br />
our regards <strong>to</strong> her family and know how<br />
sorely she will be missed.<br />
Dr Christine Walker<br />
AUSTRALIAN<br />
LONGITUDINAL<br />
EPILEPSY STUDY<br />
<strong>Australia</strong>’s first longitudinal study<br />
of epilepsy looking at <strong>need</strong>s,<br />
perceptions and experiences<br />
of people living with epilepsy is<br />
underway.<br />
If <strong>you</strong> are a person living with<br />
epilepsy or a seizure disorder, or<br />
the carer of a person living with<br />
epilepsy or a seizure disorder, and<br />
<strong>you</strong> are interested in taking part<br />
in the survey, all <strong>you</strong> <strong>need</strong> <strong>to</strong> do<br />
is call the <strong>Epilepsy</strong> Foundation of<br />
Vic<strong>to</strong>ria on 03 9805 9111 or email<br />
epilepsy@epilepsy.asn.au and a<br />
registration form will be sent <strong>to</strong> <strong>you</strong>.<br />
<strong>You</strong>r participation will help shape<br />
the future for all <strong>Australia</strong>ns living<br />
with epilepsy.<br />
For more information about<br />
this study go <strong>to</strong> www.<br />
epilepsyaustralia.net<br />
Latest edition of<br />
global conversation<br />
launched in Rome<br />
The second edition of Sudden<br />
Unexpected Death in <strong>Epilepsy</strong>:<br />
continuing the global conversation<br />
was launched at the 29th International<br />
<strong>Epilepsy</strong> Congress in Rome, on 29<br />
August 2011.<br />
<strong>Epilepsy</strong> <strong>Australia</strong> is pleased <strong>to</strong><br />
announce the publication of the latest<br />
addition <strong>to</strong> our current understanding of<br />
SUDEP in 2011.<br />
The edi<strong>to</strong>rial partnership in this<br />
second edition has been strengthened<br />
with Jane Hanna, <strong>Epilepsy</strong> Bereaved<br />
(UK) and Tamzin Jeffs, SUDEP<br />
Aware (Canada) joining edi<strong>to</strong>rs Denise<br />
Chapman & Rosey Panelli, <strong>Epilepsy</strong><br />
<strong>Australia</strong>, along with the International<br />
Bureau for <strong>Epilepsy</strong> endorsing and<br />
supporting the publication as part of its<br />
Golden Jubilee celebrations.<br />
The book blends case studies with<br />
scientific advances <strong>to</strong> bring the issue of<br />
sudden unexpected death in epilepsy <strong>to</strong><br />
the forefront because by learning more,<br />
we can do more.<br />
One in 100 people worldwide have<br />
epilepsy, the neurological condition<br />
characterized by recurrent seizures.<br />
Research studies have demonstrated<br />
that approximately 1 in 1000 people<br />
with epilepsy per year die of sudden<br />
unexpected death in epilepsy, or SUDEP.<br />
The causes remain elusive, but<br />
identified risk fac<strong>to</strong>rs include frequent<br />
generalized <strong>to</strong>nic-clonic seizures,<br />
seizures that are poorly controlled<br />
despite medication, and epilepsy<br />
requiring multiple antiepileptic<br />
medications.<br />
People with epilepsy may reduce their<br />
risk by working with their healthcare<br />
team <strong>to</strong> have as few seizures as possible.<br />
For some this could mean adjusting<br />
medications or lifestyle fac<strong>to</strong>rs, for<br />
others it could mean exploring different<br />
avenues of treatment, such as surgery.<br />
Written for anyone with an interest<br />
in epilepsy, Sudden Unexpected Death<br />
in <strong>Epilepsy</strong> continuing the global<br />
conversation is a SUDEP digest,<br />
presenting a current picture of SUDEP<br />
that brings <strong>to</strong>gether both the science and<br />
the human experience.<br />
The collection of articles details<br />
current understanding from an array of<br />
unique perspectives, provides insight<br />
through the sharing of personal s<strong>to</strong>ries<br />
and explains the challenges of SUDEP<br />
around the globe.<br />
“This is a welcome resource <strong>to</strong> assist<br />
in the challenge <strong>to</strong> reduce epilepsy<br />
deaths,” says Mike Glynn, President<br />
International Bureau for <strong>Epilepsy</strong>.<br />
Leading SUDEP authors in the<br />
medical, legal and health professional<br />
fields and 16 families affected by<br />
SUDEP generously contributed their<br />
time and expertise <strong>to</strong>wards this project.<br />
The long-term goal for highlighting<br />
SUDEP is <strong>to</strong> further scientific research,<br />
<strong>to</strong> help better understand the causes and<br />
<strong>to</strong>, ultimately, prevent these unexpected<br />
deaths.<br />
Many SUDEP questions have yet<br />
<strong>to</strong> be answered, but the global debate<br />
continues in this book, a follow-up<br />
<strong>to</strong> the 2005 publication Sudden<br />
Unexpected Death in <strong>Epilepsy</strong>: a global<br />
conversation.<br />
“This volume, six years after the first<br />
edition of Sudden Unexpected Death<br />
in <strong>Epilepsy</strong>: a global conversation was<br />
introduced, brings the field forward by<br />
leaps and bounds,” said Solomon L.<br />
Moshe MD, President, International<br />
league Against <strong>Epilepsy</strong>.<br />
With the support of IBE, some<br />
2000 copies were freely distributed<br />
<strong>to</strong> delegates at the 29th International<br />
<strong>Epilepsy</strong> Congress in Rome, allowing<br />
the book <strong>to</strong> reach a wide range of<br />
destinations throughout the world.<br />
Similarly, copies were printed by<br />
SUDEP Aware in North America, with<br />
2000 copies being distributed through<br />
<strong>Epilepsy</strong> Foundation USA affiliates.<br />
In our own region 100 copies have<br />
been forwarded <strong>to</strong> our Kiwi counterparts<br />
for distribution throughout New<br />
Zealand.<br />
29th International <strong>Epilepsy</strong> Congress<br />
J o s e m i r S a n d e r T o r b j ö r n T o m s o n<br />
n a r L i n a N a s h e f G a i l B e l l S S a m d e n D . L a h t o o<br />
NEW PUBLICATION!<br />
ria Thom Kate Riney Damian Clark Elizabeth J Donner Leone<br />
Ridsdale Paul Maynard Elson So Paul Schraeder Alicia Goldm<br />
a n R a a i n n e r S u u r g e s E m i l y y T u u e t<br />
Gordon Gordon Buchanan George Richerson Yvonne Langan Stephen<br />
Brown Brown John John Duncan Mark Cook Claire A snapshot Lathers Orrin of Devinsky<br />
Daniel Daniel Friedman Jane Hanna Fiona McDonald McDonald John-Paul<br />
Leach Keith Redhead Redhead Andres Kanner Mei SUDEP<br />
Sheng Duh Laurel<br />
Austin Stine Jakobsson Strømso Jeff Buchhalter Brax<strong>to</strong>n Wannamaker<br />
Karen Osland Simon Shorvon Hanneke in 2011 de de Boer Boer Rosemary<br />
Panelli Denise Denise Chapman Kheng-Seang Lim Chong-Tin Tan<br />
Shung-Lon Shung-Lon Lai Lai Janet Mifsud Ding Ding Lesslie EDITORS <strong>You</strong>ng Amadou<br />
Gallo Diop Mpoe Johannah Keikelame Denise Lilia Chapman Núňez-Orozco<br />
Jacqueline Beaussart-Defaye Fulvio Scorza Rosemary Tamzin Panelli Jeffs Josemir<br />
Sander Torbjörn Tomson Matti Sillanpää Jane Hanna Shlomo Shinn<br />
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ria ria Thom Kate Riney Damian Clark Elizabeth J Donner Leone<br />
Ridsdale Paul Maynard Elson So Paul With Schraeder contributions Alicia from Goldm<br />
a n R a i n e r S u r g e almost s 60 epilepsy E m i l y T u e t<br />
Gordon Gordon Buchanan Buchanan George Richerson Yvonne professionals Langan Stephen<br />
Brown Brown John Duncan Mark Cook Claire Lathers Orrin Devinsky<br />
Daniel Daniel Friedman Jane Hanna Fiona McDonald John-Paul<br />
Leach Keith Redhead Redhead Andres Kanner Mei Sheng Duh Laurel<br />
Austin Stine Jakobsson Strømso Jeff Buchhalter Brax<strong>to</strong>n<br />
Wannamaker Karen Osland Simon Shorvon Hanneke de Boer<br />
Rosemary Panelli Denise Chapman Kheng-Seang Lim Chong-<br />
Tin Tan Pick Shung-Lon Shung-Lon up <strong>you</strong>r Lai free Janet copy Mifsud at the Ding IBE Ding counter! Lesslie <strong>You</strong>ng<br />
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Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden Sudden<br />
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in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in in <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong> <strong>Epilepsy</strong><br />
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8 THE EPILEPSY REPORT DECEMBER 2011 THE EPILEPSY REPORT DECEMBER 2011 9<br />
International Bureau<br />
for <strong>Epilepsy</strong><br />
1961 - 201 1<br />
50 years focussed on epilepsy<br />
www.ibe-epilepsy.org<br />
Rosey Panelli, Mike Glynn and Denise Chapman<br />
Rosey Panelli at the IBE stand<br />
Visit www.sudepglobalconversation.com<br />
<strong>to</strong> download the full text or individual<br />
articles, and follow the SUDEP global<br />
conversation as updates are posted.<br />
Books are provided free through<br />
<strong>Epilepsy</strong> <strong>Australia</strong> members, but there is<br />
a small charge per copy for postage and<br />
handling:<br />
<strong>Australia</strong> (surface mail) AUD 5.00 (p&h)<br />
International Inside Asia AUD 10.00 (p&h)<br />
If <strong>you</strong> would like a copy please contact<br />
<strong>you</strong>r State Association or email:<br />
sudep@epilepsyaustralia.net
Motivated by a pho<strong>to</strong> of<br />
his three sons fixed<br />
on<strong>to</strong> the handlebars of his<br />
bike, Linc Kelly pushed<br />
through 69 gruelling laps<br />
of the 3.1km Sandown<br />
raceway at the inaugural<br />
Ride4<strong>Epilepsy</strong> in September<br />
for the <strong>Epilepsy</strong> Foundation.<br />
Father of three Autism<br />
Spectrum Disorder sons,<br />
two of whom have epilepsy,<br />
Linc had “been a bit lost over<br />
the past months, not quite<br />
knowing what <strong>to</strong> do” after his<br />
middle son Elliott had been<br />
diagnosed, then Linc’s wife<br />
Robyn found Ride4<strong>Epilepsy</strong>.<br />
Linc sent an email <strong>to</strong> cycling<br />
friends throughout home<strong>to</strong>wn<br />
Bairnsdale and neighbouring<br />
<strong>to</strong>wn Sale and was “shocked<br />
<strong>to</strong> learn just how many<br />
people suffer from <strong>Epilepsy</strong>.”<br />
Without delay, Team Kelly<br />
was formed with the goal <strong>to</strong><br />
“set the record for the 6 hour<br />
ride.”<br />
Linc’s middle son Elliot,<br />
a severely autistic boy who<br />
is largely nonverbal, was<br />
recently found by wife Robyn<br />
unconscious and choking<br />
after a seizure. <strong>Epilepsy</strong><br />
was not foreign <strong>to</strong> the<br />
Kelly family, as their eldest<br />
son “has suffered various<br />
partial complex and absence<br />
seizures” for two years but<br />
after having <strong>to</strong> resuscitate<br />
Elliot, and “the third trip in<br />
an ambulance we were quite<br />
numb and feeling helpless.”<br />
Ride4<strong>Epilepsy</strong> came along<br />
at just the right time for the<br />
Kelly’s.<br />
With around 250 riders on<br />
the day, kids on BMX’s and<br />
competitive cyclists on racing<br />
bikes, Ride4<strong>Epilepsy</strong> catered<br />
for the entire family. Event<br />
ambassador, world champion<br />
and Olympic medalist Marion<br />
Clignet, joined the riders<br />
on the course as a shining<br />
example of someone who<br />
has made the most of their<br />
<strong>Epilepsy</strong> diagnosis.<br />
Team Kelly threw<br />
themselves at the<br />
Ride4<strong>Epilepsy</strong> challenge, not<br />
only taking out the first prize<br />
for riding on the day but also<br />
currently sit in first place with<br />
their online fundraising page<br />
sitting on well over $2000 <strong>to</strong><br />
date. The team lead by Ryan<br />
Cross and supported by Rod<br />
Smith, Eric Sjerp, Tim Boote,<br />
Sean Phillipson, Kevin<br />
Read, Shane Dove, Craig<br />
Williamson, Adrian Doe<br />
and Mick Lin, all of whom<br />
were instrumental in holding<br />
the team <strong>to</strong>gether. Linc<br />
was blown away and quite<br />
emotional at the kindest of<br />
complete strangers on the day<br />
who helped him through it.<br />
Linc and his army of riders<br />
will be back <strong>to</strong> support<br />
Ride4<strong>Epilepsy</strong> especially<br />
when they rated “this event as<br />
one the most satisfying and<br />
rewarding things that we have<br />
done.”<br />
Linc Kelly<br />
The inaugural Ride4<strong>Epilepsy</strong><br />
was held on September 25th<br />
2011. With 254 riders pedalling<br />
around Sandown Raceway at<br />
all different speeds with Robert<br />
Oakenfull leading the way for<br />
the morning. World Champion<br />
and Olympic medallist, Marion<br />
Clignett, who began cycling after<br />
being diagnosed with <strong>Epilepsy</strong>,<br />
rode and provided advice <strong>to</strong><br />
riders out on the track. Team<br />
Kelly led the way both on and<br />
off the course being the highest<br />
fundraising team, contributing <strong>to</strong><br />
the over $25,000 raised for the<br />
<strong>Epilepsy</strong> Foundation. The Jayco<br />
Flyers made an appearance<br />
alongside Jeff ‘Joffa Corfe’,<br />
<strong>Epilepsy</strong> Foundation ambassador<br />
and Collingwood Supporter. The<br />
success of the Ride4<strong>Epilepsy</strong><br />
means we are committed <strong>to</strong><br />
making it an annual event, at<br />
present our venue has availability<br />
issues but as soon as we have<br />
resolved this we will be asking<br />
everyone <strong>to</strong> join us.<br />
Izla’s Purple Crusade<br />
Our daughter Izla Matilda has West<br />
Syndrome which is a rare and<br />
catastrophic form of epilepsy.<br />
Diagnosed at 4 months old, Izla would<br />
have up <strong>to</strong> 150 seizures a day either by<br />
her eyes flicking and her body jerking,<br />
or ones called head drops where she<br />
would lose all control of her head and<br />
it would just hit forward on<strong>to</strong> the floor,<br />
my shoulder etc. (she became very good<br />
at sucking wet flannels <strong>to</strong> s<strong>to</strong>p the blood<br />
lips) while various medications have<br />
caused horrible side effects. She was<br />
also developmentally delayed.<br />
I am a true believer in early<br />
intervention. Since diagnosis Izla has<br />
been under the care of a physiotherapist,<br />
occupational therapist, speech<br />
pathologist, neurologist and two<br />
paediatricians! So our life has been a<br />
constant round of appointments!<br />
On 12 November 2010, at 16 months<br />
of age, we believe we found the right<br />
combination of medication as her<br />
seizures s<strong>to</strong>pped (what we can see)!!!<br />
Since then she has started developing<br />
Jarrod, Asha, Kym and Izla Meers, City <strong>to</strong> Bay Fun Run, Adelaide.<br />
– she started sitting, rolling, then<br />
crawling by bum shuffling, then<br />
crawling on all fours and more recently<br />
she has started <strong>to</strong> stand and even walk<br />
with a walker. She has recently started<br />
<strong>to</strong> hold things and now enjoys feeding<br />
herself. She is one determined little girl,<br />
but remains on meds!<br />
Unfortunately West Syndrome is<br />
not well known in <strong>Australia</strong>. There are<br />
no support groups except for the three<br />
friends I have made via Facebook (yes it<br />
is a really good source of connection).<br />
I have always had one thing that has<br />
kept me sane and that has been HOPE.<br />
With a desire <strong>to</strong> get fit and healthy,<br />
both physically and mentally, I asked<br />
a few friends <strong>to</strong> join me. Then my<br />
amazing daughter beat the odds and<br />
decided that she was going <strong>to</strong> walk!<br />
What a better way <strong>to</strong> reward her than<br />
<strong>to</strong> run the 12km City <strong>to</strong> Bay run for<br />
the first time and raise much <strong>need</strong>ed<br />
awareness and money for epilepsy.<br />
Izla’s Purple Crusade was born.<br />
First came the Facebook page telling<br />
Izla’s s<strong>to</strong>ry and our entry in the City<br />
<strong>to</strong> Bay Fun Run <strong>to</strong> raise money for<br />
epilepsy.<br />
With the donation of T-shirts from<br />
Sandy Nelson Teamwear, Izla’s Purple<br />
Crusade was off and running. Business<br />
sponsorship soon followed as people<br />
were happy <strong>to</strong> support the Crusade, and<br />
family and friends became my support<br />
team holding fundraising events, online<br />
auctions, a movie night attended by 207<br />
people – all <strong>to</strong> support Izla and other<br />
kids like her with epilepsy.<br />
When the Everyday Hero page opened<br />
featuring Izla’s s<strong>to</strong>ry, the donations<br />
flowed in. The Sunday Mail picked up<br />
the s<strong>to</strong>ry as Izla was finding her feet.<br />
Meanwhile our Saturday training<br />
program continued and our team<br />
numbers were creeping upwards.<br />
And before we knew it the City <strong>to</strong><br />
Bay was here. With a record crowd we<br />
went <strong>to</strong> the starting line. It was fabulous<br />
watching the Purple Crusade T Shirts<br />
gather around me and knowing in this<br />
massive crowd there were 160 of us<br />
wearing it proudly!<br />
We all set our own pace, and I must<br />
say I enjoyed every minute.<br />
I thought I would break down in tears<br />
as it had been such an overwhelming<br />
journey but I smiled over that finish line<br />
and all the way <strong>to</strong> our meeting point.<br />
The love, commitment and support from<br />
family, friends and <strong>to</strong>tal strangers was<br />
absolutely amazing.<br />
The <strong>to</strong>tal tally was $21,578.40 for The<br />
<strong>Epilepsy</strong> Centre SA & NT and a lot of<br />
community awareness!!<br />
Izla’s Purple Crusade has certainly<br />
made a difference in more ways than<br />
one!<br />
10 THE EPILEPSY REPORT DECEMBER 2011 THE EPILEPSY REPORT DECEMBER 2011 11<br />
Kym Meers
Struck down by a seizure in June<br />
2008, Kathryn Oultram found<br />
herself in an induced coma for four days<br />
and hospitalized for several weeks. After<br />
countless seizures and tests during this<br />
time, Kathryn gained some stability<br />
through medication and started on her<br />
road <strong>to</strong> recovery. She was diagnosed<br />
with viral encephalitis.<br />
The residual impact of the infection<br />
left Kathryn with right-side weakness<br />
and recovery was similar <strong>to</strong> someone<br />
suffering from a stroke. Recovery<br />
involved rehabilitation, occupational<br />
therapy, physiotherapy and psychological<br />
counselling as Kathryn learnt <strong>to</strong> walk<br />
and care for herself again. Remarkably,<br />
within 18 months Kathryn had fully<br />
recovered, but the infection left her with<br />
epilepsy.<br />
Along with Kathryn’s remarkable<br />
recovery, came another surprise. At the<br />
end of 2010, Kathryn found that she<br />
was pregnant. Having been <strong>to</strong>ld that<br />
pregnancy is something she and husband<br />
Drew would struggle <strong>to</strong> come by, if at<br />
all, the news was truly wonderful.<br />
Yet pregnancy posed additional<br />
problems for them as they struggled<br />
with Kathryn’s seizures. Experiencing<br />
five <strong>to</strong> six seizures during the first<br />
month, Kathryn’s baseline medication<br />
remained the same, while an additional<br />
antiepileptic medication was prescribed<br />
and adjusted <strong>to</strong> ensure coverage<br />
during the remainder of her pregnancy.<br />
However she experienced an increase<br />
in seizure frequency during the last<br />
trimester.<br />
Happy endings!<br />
During this time Kathryn and Drew<br />
regularly visited the <strong>Epilepsy</strong> <strong>Australia</strong><br />
website for information, while relying<br />
on each other and their families <strong>to</strong> get<br />
through.<br />
Realizing how difficult living with<br />
seizures and epilepsy must be for<br />
others, Drew, a rugby league referee<br />
both in the Newcastle competition<br />
and within the NSW Rugby League<br />
Junior Representative Referees based in<br />
Sydney, nominated <strong>Epilepsy</strong> <strong>Australia</strong><br />
as beneficiary of the annual presentation<br />
night where money is raised for a chosen<br />
charity. With the support of the NSWRL<br />
Junior Representative Referees and<br />
coaches, his nomination was successful.<br />
The evening was a great success, with<br />
$1093 raised <strong>to</strong> support the work of<br />
<strong>Epilepsy</strong> <strong>Australia</strong>. The unpredictability<br />
of seizures was also brought home<br />
<strong>to</strong> the guests when Kathryn gave a<br />
demonstration of a seizure <strong>to</strong>wards the<br />
end of the night!<br />
Some seven weeks later, Kathryn<br />
gave birth, albeit a little early, <strong>to</strong> a<br />
healthy son, Oscar Robert weighing in at<br />
3160gms.<br />
Kathryn’s seizures are not yet fully<br />
controlled, but with the confidence of<br />
a new mother she is taking it all in her<br />
stride.<br />
While the pregnancy was an anxious<br />
time for both Kathryn and Drew, with<br />
little Oscar thriving all thoughts are<br />
now focussed on the future with their<br />
beautiful son.<br />
<strong>Australia</strong>n Pregnancy<br />
Register<br />
This voluntary, nationwide study that<br />
is enrolling women who are currently<br />
pregnant or who have given birth<br />
recently (infants up <strong>to</strong> 6-9 months of<br />
age) in the following categories:<br />
Women with epilepsy taking<br />
antiepileptic medication (AEDs).<br />
Women with epilepsy not taking<br />
AEDs.<br />
Women taking AEDs for allied<br />
conditions.<br />
Background<br />
From previous research it is believed<br />
that women who are taking an AED<br />
may have a slightly higher incidence<br />
(4-6%) of having babies with birth<br />
defects than the general population<br />
(2-3%).<br />
After ten years of data collection and<br />
analysis, there is now some evidence<br />
available <strong>to</strong> determine whether this<br />
small increase is related directly <strong>to</strong><br />
the drugs, the epilepsy itself, or other<br />
fac<strong>to</strong>rs.<br />
As a result from this study we are<br />
getting closer <strong>to</strong> defining safer<br />
treatment choices.<br />
Breast feeding Information<br />
Of 1114 women analyzed so far it<br />
has shown that 857 did successfully<br />
breast feed their babies and 257<br />
women didn’t breast feed.<br />
Of those that didn’t feed, 145 chose<br />
not due <strong>to</strong> the medication and the<br />
remaining 112 chose not <strong>to</strong> for other<br />
reasons relating <strong>to</strong> breast feeding<br />
(ana<strong>to</strong>mical reasons, poor supply etc.)<br />
To participate in this study call<br />
1800 069 722<br />
For more information about the<br />
<strong>Australia</strong>n Pregnancy Register<br />
visit www.apr.org.au<br />
women’s epilepsy network<br />
They came from all over Vic<strong>to</strong>ria –<br />
by bus, train and car <strong>to</strong> Queenscliff<br />
Guest house, where they were greeted by<br />
leaders Lisa, Linley, Jan and Gillian.<br />
Once settled, we all made ourselves<br />
a drink and socialised with new (& old)<br />
friends<br />
Pizza was arranged – so we chatted<br />
and ate, excited at meeting other<br />
women who all suffer with this d<strong>read</strong>ed<br />
condition known as epilepsy.<br />
Then came the ice breaker, through<br />
musical chairs spending two minutes<br />
with each person – a minute each <strong>to</strong> tell<br />
our names, interests and where we’d<br />
travelled from. But being women we<br />
all found this a little difficult – I mean,<br />
whoever succeeded with a one minute<br />
limit <strong>to</strong> meet and greet someone new?<br />
Still it was a great start and definitely<br />
broke the ice.<br />
Some of us <strong>to</strong>ok this opportunity <strong>to</strong><br />
get the warm fuzzy envelopes with our<br />
own name on and personalise them with<br />
the paper, magazine, cardboard, feathers<br />
and shells at the craft table.<br />
Saturday morning saw the early birds<br />
rise <strong>to</strong> the challenge of an energetic walk<br />
led by Jan.<br />
The opportunity for a massage was the<br />
order for the day after breakfast, unless<br />
of course <strong>you</strong> decided some shopping<br />
or a coffee down the main street had a<br />
higher priority…<br />
Lunch was help <strong>you</strong>rself once our<br />
illustrious leaders had prepared such a<br />
healthy feast.<br />
After lunch all the women participated<br />
in Women’s <strong>Epilepsy</strong> Network (WEN) –<br />
discussing the possibilities of developing<br />
and even expanding WEN and the<br />
support it currently offers<br />
.Everything from social events,<br />
newsletters, guest speakers and even<br />
fund raising was discussed.<br />
Then time for a cuppa refill before<br />
‘Scott’ turned up with his many musical<br />
drums from Africa, Congo and more.<br />
Some of us even got <strong>to</strong> use various bells<br />
as percussion – including a cow bell…<br />
however, not all of us unders<strong>to</strong>od the<br />
contribution of a cow bell <strong>to</strong> our drum<br />
rhythms!<br />
We learnt various rhythms and how <strong>to</strong><br />
use our hands <strong>to</strong> make different sounds<br />
on the drums. Most of us came away<br />
with a deeper appreciation of the art of<br />
drumming.<br />
As evening approached, another EFV<br />
leader, Janita arrived and we all got<br />
<strong>read</strong>y <strong>to</strong> head off <strong>to</strong> the local pub for<br />
dinner which was a great social event. It<br />
certainly was the place <strong>to</strong> be given how<br />
many others had decided <strong>to</strong> do the same<br />
thing.<br />
Back at the guest house, Janita<br />
showed two short DVD’s on what EFV<br />
is doing <strong>to</strong> gain public awareness and<br />
acceptance of people with epilepsy in<br />
the community – especially targeting<br />
the employment and also the disability<br />
sec<strong>to</strong>rs of EFV. These powerful <strong>to</strong>ols<br />
are being used in many diverse areas<br />
of society such as Centrelink and as<br />
Electronic learning in various businesses<br />
<strong>to</strong> overcome discrimination.<br />
At this stage some of us headed <strong>to</strong> bed<br />
but others decided the night was still<br />
<strong>you</strong>ng…<br />
On Sunday morning, we packed, had<br />
breakfast, <strong>to</strong>ok early walks until, Tash<br />
our hairdresser, and Lesley, our makeup<br />
artist arrived for anyone <strong>to</strong> take up the<br />
challenge of having their hair or face<br />
beautified – and almost all <strong>to</strong>ok the<br />
plunge <strong>to</strong> become new women. We even<br />
had a transformation <strong>to</strong> a Cleopatra look<br />
alike!<br />
Last minute shopping and coffees<br />
were bought before lunch.<br />
After lunch our warm fuzzy envelopes<br />
were given out – each of us receiving<br />
compliments from various participants<br />
over the weekend. As we all gradually<br />
left, we held on<strong>to</strong> our warm fuzzies<br />
which would remind us of our great<br />
time away until the next great camp<br />
opportunity.<br />
However, I’m sure there’ll be lots of<br />
phone calls and emails between new<br />
friends made before the next camp!!\<br />
Nenia Travou<br />
12 THE EPILEPSY REPORT DECEMBER 2011 THE EPILEPSY REPORT DECEMBER 2011 13
Reaching for the stars . . .<br />
When <strong>you</strong> first meet Joshua Gordon,<br />
his physical strength is obvious – a<br />
<strong>you</strong>ng man, healthy and strong – as he<br />
moves with a grace and power over the ice.<br />
A professional skater, Josh is <strong>to</strong>uring the<br />
country with ISkate Productions and living<br />
his dream.<br />
Not bad for someone who had never put<br />
on a pair of ice skates until four years ago.<br />
But Josh is exceptional in more ways<br />
than one. Now 21, Josh had a precarious<br />
start <strong>to</strong> life. Born 12 weeks premature and<br />
weighing just 1185grams (2.6lbs), Joshua’s<br />
first three months of life were <strong>to</strong>uch and go.<br />
Attached <strong>to</strong> tubes, a ventila<strong>to</strong>r and confined<br />
<strong>to</strong> a humidity crib, his tiny body was sp<strong>read</strong><br />
out like an extended frog. Ironically, this<br />
actually gave him the physical flexibility <strong>to</strong><br />
enable him <strong>to</strong> achieve the movements he is<br />
now known for as a figure skater.<br />
At around 12 months of age,<br />
developmental issues began <strong>to</strong> surface.<br />
Doc<strong>to</strong>rs discovered that his hearing was<br />
impaired; and he had continuous lung<br />
infections that developed in<strong>to</strong> asthma.<br />
In 2000, at age 10, Joshua’s disabilities<br />
were categorized as Level 6 Speech-<br />
Language impairment (SLI), Autistic<br />
Spectrum Disorder (ASD) and Intellectual<br />
Impairment (II). Joshua also has epilepsy.<br />
In 2007, his father’s work meant that<br />
Joshua and his family had <strong>to</strong> move <strong>to</strong><br />
Canberra. This was extremely hard<br />
on Joshua as he thrives and relies on<br />
consistency and stability. The secure<br />
environment and familiarity with his<br />
Special School and friends in Queensland<br />
had gone.<br />
In Canberra, his mother was looking for<br />
something <strong>to</strong> give Joshua some fun. She<br />
<strong>to</strong>ok him <strong>to</strong> the ice rink but had no idea<br />
at the time that this was the beginning of<br />
something very special. Joshua <strong>to</strong>ok <strong>to</strong> the<br />
ice like a ‘duck <strong>to</strong> water’. He was 17.<br />
Joshua showed an interest in playing ice<br />
hockey but was <strong>to</strong>ld he <strong>need</strong>ed <strong>to</strong> learn <strong>to</strong><br />
skate first and learn he did! Within six<br />
weeks of beginning lessons, Joshua had<br />
passed 10 Aussie Skate Badges and within<br />
five months, he was representing <strong>Australia</strong><br />
at the New Zealand National Figure Skating<br />
Championships – he brought home the first<br />
Gold medal ever won by an <strong>Australia</strong>n in<br />
the Special Olympics division.<br />
In January 2008, Joshua won first<br />
prize in the Technical Preliminary<br />
Division, in the mainstream competition,<br />
at the Summer Trophy in Brisbane.<br />
In August 2008, unexpectedly, and<br />
for no apparent reason, Joshua began <strong>to</strong><br />
have seizures putting him behind in his<br />
schedule and goals. However, by 2009,<br />
his medication had brought the seizures<br />
well under control and Joshua was back<br />
on track chasing his dream.<br />
Joshua’s natural ability, intensive<br />
training regime and unconditional<br />
commitment <strong>to</strong> his sport have seen<br />
Joshua progress rapidly through the<br />
National Ice Skating levels. Joshua<br />
found his sport late for a beginner skater,<br />
which meant he had <strong>to</strong> work three times<br />
as harder <strong>to</strong> reach Senior Ice Dance and<br />
Novice Men’s Skater level.<br />
But Josh’s life really turned around<br />
when he met coach and men<strong>to</strong>r Kristian<br />
Ryan. Recognizing something unique<br />
in Josh, Kristian has been<br />
responsible for helping Josh<br />
transition from a very quiet<br />
boy, <strong>to</strong> one who can perform<br />
for the public.<br />
‘My first impression was<br />
a kid with such ambition<br />
and devotion <strong>to</strong> the sport.<br />
He was so keen <strong>to</strong> learn,<br />
so respectful and his<br />
motivation is amazing, ‘<br />
said Kristian. ‘He is unique<br />
in that he will just train and<br />
train. Sometimes I have <strong>to</strong><br />
drag him off the ice.’<br />
When asked about<br />
Kristian, Josh said he had<br />
helped him in ways he really<br />
can’t explain. ‘I kept my<br />
emotions <strong>to</strong> myself. Kristian<br />
got me <strong>to</strong> act more, <strong>to</strong> show<br />
expression. He showed me<br />
how <strong>to</strong> release my inner self,’<br />
said Josh.<br />
Josh’s mum, Anita, agrees. Prior <strong>to</strong><br />
skating, Josh would be always in his<br />
room watching Disney DVDs. He found<br />
it difficult <strong>to</strong> talk <strong>to</strong> people, <strong>to</strong> interact<br />
socially. Now <strong>to</strong> see him be a part of<br />
Kristian’s production company <strong>to</strong>uring<br />
the country in the Winter Festival and<br />
performing on ice, Anita just can’t<br />
believe that Josh has finally found what<br />
he was born <strong>to</strong> do. When asked about<br />
Kristian, she just says ( a little tearfully)<br />
‘He has given this kid life.’<br />
Since the completion of the Winter<br />
Festival, Josh competed in the 2011<br />
Dragon City<br />
Trophy &<br />
14 THE EPILEPSY REPORT DECEMBER 2011 THE EPILEPSY REPORT DECEMBER 2011 15<br />
Sun Loong<br />
Artistic<br />
Challenge<br />
recently held<br />
at the newly<br />
opened,<br />
world class<br />
venue,<br />
Medibank<br />
ICEHOUSE<br />
‘ <strong>You</strong> don’t <strong>need</strong> <strong>to</strong> <strong>read</strong>,<br />
<strong>you</strong> don’t <strong>need</strong> <strong>to</strong> <strong>write</strong><br />
– <strong>you</strong> just have <strong>to</strong> show<br />
expressions – who <strong>you</strong><br />
are inside’.<br />
in Melbourne where he won the Dragon<br />
City Trophy in his Division, and<br />
the Judges’ Trophy for Best Overall<br />
Performance in the Competition.<br />
Josh’s dream is <strong>to</strong> perform with<br />
Disney on Ice. ‘<strong>You</strong> can do different<br />
characters such as Goofy, and I thought<br />
why not! I’ll give it a go.’<br />
Kristian, himself a past member of the<br />
Disney on Ice troupe, knew how much<br />
training and dedication would be <strong>need</strong>ed<br />
<strong>to</strong> secure an audition, and guided Josh<br />
through his audition tape.<br />
‘Josh is capable of anything he puts<br />
his mind <strong>to</strong> and if his dream is <strong>to</strong> be on<br />
Disney on Ice, then my hope is that he<br />
can fulfill that dream,’ said Kristian.<br />
Josh has got past the first round with<br />
the great news that he has been granted<br />
an audition.<br />
While<br />
Joshua’s<br />
ultimate dream<br />
is <strong>to</strong> skate for<br />
Disney on<br />
Ice he wants<br />
<strong>to</strong> build a<br />
successful<br />
career within<br />
the sport and<br />
become a<br />
professional<br />
coach <strong>to</strong> <strong>you</strong>ng skaters. Josh is<br />
currently undertaking Level 1 Coaching<br />
Accreditation, having recently achieved<br />
his certificate for the On Ice section<br />
of Training. His determination and<br />
Josh as ‘Louie the Chef’ from The Little Mermaid with men<strong>to</strong>r and coach Kristian Ryan.<br />
commitment <strong>to</strong> achieve what many<br />
people would once have thought<br />
unachievable has been met with the<br />
greatest admiration from his coaches,<br />
judges and officials within the sport.<br />
Most importantly, Joshua wants<br />
<strong>to</strong> show <strong>to</strong> world that people with a<br />
disability are just as capable of achieving<br />
their dreams as anyone else.
EPILEPSY WITHOUT WORDS<br />
Winners of the Golden Jubliee Pho<strong>to</strong>graphy Competition<br />
With a <strong>to</strong>tal number of entries<br />
in excess of 300, the judging<br />
panel for the IBE’s Golden Jubilee<br />
pho<strong>to</strong>graphy competition were faced<br />
with a very difficult task in selecting<br />
the overall winner. Some amazing<br />
pho<strong>to</strong>graphs, some telling very<br />
personal s<strong>to</strong>ries, others using fantastic<br />
pho<strong>to</strong>graphic techniques, were received<br />
from all over the world. All the images<br />
received before the deadline of 1st May,<br />
are available <strong>to</strong> view at http://www.ibeepilepsy.org/taskforces/jubilee-pho<strong>to</strong>competition<br />
Pieces by Danish pho<strong>to</strong>grapher Thilde<br />
Mørup Christensen, was selected by the<br />
judges <strong>to</strong> receive first prize, carrying<br />
with it cash prize of US$3,000. Voting<br />
individually, this was the highest<br />
rated pho<strong>to</strong>graph by each member of<br />
the judging panel, making it a clear<br />
winner. I am sure <strong>you</strong> will agree with<br />
the judges that this is a very compelling<br />
image using advanced and complex<br />
pho<strong>to</strong>graphy techniques and delivers<br />
the brief – an image of epilepsy without<br />
words.<br />
Second prize of US$2000, went <strong>to</strong><br />
Swedish pho<strong>to</strong>grapher Anders Nilsson<br />
for his pho<strong>to</strong>graph titled Seizure. This<br />
image also used interesting techniques <strong>to</strong><br />
demonstrate the feeling of epilepsy.<br />
Given the high number of entries, it<br />
was a surprise that two images tied for<br />
third prize receiving US$500 each. The<br />
winners were James Leahy from Ireland<br />
with Fear of it all, and Kai Löffelbein<br />
from Germany with Look.<br />
In the mobile phone category, the<br />
prize winners were: Lotta Hoffback-<br />
Kaljo, Sweden (First prize US$500) for<br />
Light in the Tunnel; Sherwyn Vargas,<br />
Philippines (Second Prize US$300) for<br />
My world and me, and Patricia Simpson-<br />
Green, USA (Third Prize US$200) for<br />
1st known Grand Mal at 60 miles per<br />
hour.<br />
IBE would like <strong>to</strong> thank the members<br />
of the judging panel:<br />
• Denise Chapman, <strong>Australia</strong><br />
• Shunglon Lai, Taiwan<br />
• Susanne Lund, Sweden<br />
• Peter Murphy, Ireland<br />
• Simon Shorvon, UK<br />
• Tatsuya Tanaka, Japan<br />
• Sam Wiebe, Canada<br />
for their diligent consideration of all<br />
entries received.<br />
Supported by UCB Pharma SA<br />
Reprinted from IE News, Issue 2011 with<br />
acknowledgement <strong>to</strong> Ann Little.<br />
Previous page: Pieces by Thilde Morup Christensen<br />
This page, clockwise from <strong>to</strong>p left:<br />
Seizure by Anders Nilsson<br />
Fear of it all by James Leahy<br />
Look by Kai Loffelbein<br />
Light in the Tunnel by Lotta Hoffback-Kaljo<br />
My world and me by Sherwyn Vargas<br />
1st known Grand Mal at 60 miles per hour by Patricia<br />
Simpson-Green<br />
16 THE EPILEPSY REPORT DECEMBER 2011 THE EPILEPSY REPORT DECEMBER 2011 17
Written Declaration on <strong>Epilepsy</strong> passed by<br />
European Parliament<br />
The European Written Declaration on <strong>Epilepsy</strong><br />
was approved by the EU Parliament in<br />
Strasbourg, on Thursday 15th September, 2011.<br />
In order <strong>to</strong> have a written declaration approved,<br />
a majority of the 768 elected MEPs (i.e. 369 MEPs)<br />
must sign it within a tight time limit. When the<br />
declaration closed for signatures it had received 90<br />
more signatures than was required for approval.<br />
With the signatures of 459 MEPs supporting the<br />
declaration, it has the third highest number of<br />
signatures of all disease related declarations since<br />
2004 – which are the earliest available records.<br />
This great achievement is thanks <strong>to</strong> the IBE<br />
members and ILAE chapter associations in Europe<br />
who diligently and repeatedly contacted their local<br />
MEPs <strong>to</strong> encourage them <strong>to</strong> sign.<br />
The value<br />
The Written Declaration on <strong>Epilepsy</strong> is now<br />
a very valuable document that can be used at<br />
member and European level, for example:<br />
• in advocating for increased research<br />
funding;<br />
• advocating for improved healthcare facilities<br />
and services provision for people with<br />
epilepsy;<br />
• building other significant initiatives at<br />
European level.<br />
In addition MEPs can use the declaration <strong>to</strong><br />
launch and relaunch initiatives that come within<br />
the EU’s remit.<br />
EN<br />
0022/2011<br />
Written declaration on epilepsy<br />
The European Parliament,<br />
– having regard <strong>to</strong> Rule 123 of its Rules of Procedure,<br />
A. whereas epilepsy is the most common serious disorder of the brain,<br />
B. whereas 6 000 000 people in Europe have epilepsy, with 300 000 new cases diagnosed<br />
each year,<br />
C. whereas up <strong>to</strong> 70% of people with epilepsy could be seizure-free with appropriate<br />
treatment, while 40% of people with epilepsy in Europe do not receive such treatment,<br />
D. whereas 40% of children with epilepsy have difficulties at school,<br />
E. whereas people with epilepsy in Europe experience high levels of unemployment,<br />
F. whereas people with epilepsy are exposed <strong>to</strong> stigma and prejudice,<br />
G. whereas epilepsy damages health but also disrupts every aspect of life, and can impose<br />
physical, psychological and social burdens on individuals and families,<br />
1. Calls on the Commission and Council <strong>to</strong>:<br />
– encourage research and innovation in the area of prevention and early diagnosis and<br />
treatment of epilepsy;<br />
– prioritise epilepsy as a major disease that imposes a significant burden across Europe;<br />
– take initiatives <strong>to</strong> encourage Member States <strong>to</strong> ensure equal quality of life, including in<br />
education, employment, transport and public healthcare, for people with epilepsy, e.g. by<br />
stimulating the exchange of best practice;<br />
– encourage effective health impact assessments on all major EU and national policies;<br />
2. Calls on the Member States <strong>to</strong> introduce appropriate legislation <strong>to</strong> protect the rights of all<br />
people with epilepsy;<br />
3. Instructs its President <strong>to</strong> forward this declaration, <strong>to</strong>gether with the names of the<br />
signa<strong>to</strong>ries, <strong>to</strong> the Commission and the Parliaments of the Member States.<br />
Pan American Health Organisation (PAHO)<br />
approves Strategic Plan for <strong>Epilepsy</strong><br />
The countries of the Americas, with<br />
the support of the Pan American<br />
Health Organization/World Health<br />
Organization (PAHO/WHO), will work<br />
<strong>to</strong>gether <strong>to</strong> create national programs<br />
for the care and treatment of epilepsy, a<br />
neurological disorder that affects some 5<br />
million people in the Americas. Globally<br />
the disorder affects some 50 million<br />
people.<br />
Only a few countries in the<br />
hemisphere currently have a national<br />
epilepsy care program in place. At the<br />
51st PAHO Directing Council meeting<br />
representatives of PAHO/WHO Member<br />
States approved a Strategy and plan<br />
of action on epilepsy that calls for the<br />
creation of similar programs in the rest<br />
PE464.670v01-00 2/2 DC\865022EN.doc<br />
of the countries.<br />
As of this PAHO/WHO Directing<br />
Council resolution, health authorities<br />
from different countries of the Americas<br />
agreed <strong>to</strong> start considering epilepsy a<br />
priority issue and <strong>to</strong> reduce the treatment<br />
gap by strengthening the health sec<strong>to</strong>r<br />
response <strong>to</strong> the disorder, with a focus<br />
on primary care and integrated service<br />
networks. Currently more than 50%<br />
of the people with epilepsy in Latin<br />
America and the Caribbean do not have<br />
access <strong>to</strong> appropriate treatment and care.<br />
The Strategy and action plan<br />
was developed by PAHO/WHO in<br />
collaboration with the International<br />
League against <strong>Epilepsy</strong> (ILAE), the<br />
International Bureau for <strong>Epilepsy</strong> (IBE),<br />
ministries of health and other national<br />
organizations, WHO’s Department of<br />
Mental Health and Substance Abuse, and<br />
other experts.<br />
The presentation of the regional<br />
Strategy and action plan on epilepsy<br />
<strong>to</strong>ok place in Tegucigalpa, Honduras in<br />
Oc<strong>to</strong>ber.<br />
More than 40 international experts,<br />
health ministry officials, representatives<br />
of the civil society and of associations<br />
of families of people suffering from this<br />
disorder were present at the meeting.<br />
They also discussed practical ways <strong>to</strong><br />
implement the Strategy in the context of<br />
Latin America and the Caribbean and<br />
possible lines of cooperation with the<br />
support of the ILAE and IBE.<br />
9th Asian & Oceanian<br />
<strong>Epilepsy</strong> Congress<br />
Manila, Philippines 22–25 March 2012<br />
www.epilepsymanila2012.org<br />
Welcome <strong>to</strong> Manila<br />
Manila, also known as the Pearl of the<br />
Orient, is the cosmopolitan capital of the<br />
Philippines. The city flanks beautiful<br />
Manila Bay and offers a blend of<br />
cultures, a good supply of his<strong>to</strong>ric sights<br />
and places <strong>to</strong> see, and unforgettable<br />
experiences.<br />
The Congress will be held at the<br />
SMX Convention Centre – a world class<br />
venue. The SMX is an integral part of<br />
the Mall of Asia Complex that integrates<br />
business with recreation, shopping and<br />
entertainment that addresses <strong>need</strong>s of all<br />
delegates.<br />
Scientific Program<br />
More than 100 local, regional and<br />
international speakers will present a<br />
range of <strong>to</strong>pics that are highly relevant<br />
<strong>to</strong> recent scientific, clinical and<br />
social developments in epilepsy. The<br />
main <strong>to</strong>pics of the Congress will be:<br />
“<strong>Epilepsy</strong> and the Developing Brain”,<br />
“<strong>Epilepsy</strong> Genes and Beyond”, “The<br />
Impact of <strong>Epilepsy</strong> and its Treatment”<br />
and “Epileptic Networks and Seizure<br />
Propagation”.<br />
<strong>Epilepsy</strong> & Society<br />
Symposium<br />
A one day <strong>Epilepsy</strong> & Society<br />
Symposium will take place on Saturday,<br />
24th March, 2012. An exciting program<br />
has been developed for people with<br />
epilepsy, their carers, family, friends.<br />
And for those professionals working<br />
with people with epilepsy in the<br />
community, whether that be in the<br />
disability sec<strong>to</strong>r, education, employment,<br />
nursing, and the leisure sec<strong>to</strong>r – there is<br />
something of interest for everyone.<br />
Topics will include “The Impact of<br />
<strong>Epilepsy</strong>”, “Sudden Unexpected Death<br />
in <strong>Epilepsy</strong>”, “Empowering People with<br />
<strong>Epilepsy</strong>”, “Anxiety and Depression”,<br />
and “<strong>Epilepsy</strong> and Pregnancy”. Each<br />
presentation will include people with<br />
epilepsy speaking from personal<br />
experience.<br />
With separate registration, this<br />
day program will also provide the<br />
opportunity <strong>to</strong> meet many people from<br />
across the region and share <strong>you</strong>r points<br />
of view.<br />
Outstanding Persons with<br />
<strong>Epilepsy</strong> Award<br />
Continuing the tradition of past<br />
Congresses, the Outstanding Persons<br />
with <strong>Epilepsy</strong> Award will once again be<br />
awarded in Manila.<br />
This Award came about during the<br />
4th AOEC in Nagano, Japan in 2002,<br />
under the guidance of Dr Park (Korea),<br />
Dr Marshall (Taiwan), Dr Kubota<br />
(Japan) and Dr Mehndiratta (India) who<br />
developed the idea of the ‘outstanding<br />
persons with epilepsy award’ <strong>to</strong><br />
encourage people with epilepsy <strong>to</strong> not<br />
be ashamed of their condition and <strong>to</strong><br />
overcome the heavy culturally defined<br />
stigma and discrimination that exists in<br />
the region.<br />
This Award was presented <strong>to</strong> very<br />
worthy recipients, nominated by their<br />
respective Chapters, at the subsequent<br />
Congresses in Bangkok 2004, Kuala<br />
Lumpur 2006, Xiamen 2008, and<br />
Melbourne 2010.<br />
In Manila 2012, the award will be<br />
made during the opening ceremony,<br />
celebrating people with epilepsy who are<br />
inspirational in their determination <strong>to</strong><br />
live fulfilling lives.<br />
ILAE presents: STAND UP FOR EPILEPSY<br />
The International League Against<br />
<strong>Epilepsy</strong> (ILAE), through the<br />
Taskforce on Sports and <strong>Epilepsy</strong>, is<br />
launching an exciting and innovative new<br />
project.<br />
The aim is <strong>to</strong> create a collection of<br />
pho<strong>to</strong>graphs of famous sports persons<br />
meeting <strong>you</strong>ng people with epilepsy. The<br />
pho<strong>to</strong>graphs will convey the message<br />
that people with epilepsy, like athletes<br />
themselves, can be inspired <strong>to</strong> achieve<br />
their goals and lead full and active lives.<br />
It is <strong>read</strong>ily acknowledged that the<br />
public image of epilepsy mistakenly<br />
emphasis its rarity, disability, its social,<br />
educational and employment exclusions,<br />
and sporting non-participation.<br />
The London 2012 Olympics followed<br />
by the 10th European Congress on<br />
Epilep<strong>to</strong>logy gives an opportunity <strong>to</strong><br />
break barriers of prejudice, ignorance<br />
and superstition.<br />
The collection of images will be<br />
exhibited at the 10th European<br />
Congress on Epilep<strong>to</strong>logy. It is also<br />
hoped <strong>to</strong> arrange a public exhibition at<br />
certain Olympic events. In addition, the<br />
collection is intended <strong>to</strong> be published as<br />
a book of pho<strong>to</strong>graphs.<br />
Do <strong>you</strong> know a <strong>you</strong>ng person with<br />
epilepsy who loves their sport and<br />
dreams of meeting their sporting hero<br />
... a <strong>you</strong>ng Greg Norman, Cadell Evans<br />
or Kathy Freeman? Are <strong>you</strong> a sporting<br />
champion, or do <strong>you</strong> know one, who<br />
would like <strong>to</strong> participate in this project<br />
while making a <strong>you</strong>ng person’s dreams<br />
of meeting <strong>you</strong> come true?<br />
If so, please contact us at epilepsy@<br />
epilepsyaustralia.net or call 02 9674<br />
9966. This project aims at inspiring and<br />
empowering people with epilepsy <strong>to</strong> full<br />
participation.<br />
18 THE EPILEPSY REPORT DECEMBER 2011 THE EPILEPSY REPORT DECEMBER 2011 19
Pho<strong>to</strong>s, from left: A crowded notice board at the school; a medical team sets off for the disaster area - with special rescue pass pasted on its windscreen;<br />
a classroom is turned in<strong>to</strong> a supply room amd sleeping area for doc<strong>to</strong>rs; the school corridor serves as a waiting room for patients.<br />
<strong>Epilepsy</strong> Hospital Bethel, an<br />
Associate Member of IBE, opened<br />
in 1992 as a private hospital specialising<br />
in epilepsy surgery and care. The centre<br />
provides a comprehensive treatment<br />
program, including diagnosis of epilepsy<br />
syndrome and seizure type, treatment<br />
programs, as well as the provision of<br />
reintegration training and sheltered<br />
accommodation.<br />
Based in Sendai Province in North<br />
Japan, the area most badly affected by<br />
the March 2011 earthquake and tsunami,<br />
the hospital faced a huge disaster<br />
following these events. In response, the<br />
Japan <strong>Epilepsy</strong> Society (ILAE chapter in<br />
Japan) and Japan <strong>Epilepsy</strong> Association<br />
(IBE member in Japan) joined forces<br />
and rallied <strong>to</strong> help. Efforts were made <strong>to</strong><br />
contact all of the 387 members of Japan<br />
<strong>Epilepsy</strong> Association by phone, although<br />
not all were found.<br />
An epilepsy hotline was set up <strong>to</strong><br />
provide information and support <strong>to</strong><br />
both persons with epilepsy and medical<br />
professionals. When the disaster struck,<br />
many of the medical professionals caring<br />
for those affected by the disaster would<br />
have had limited knowledge about<br />
epilepsy and the hotline provided an<br />
important source of information and<br />
advice.<br />
As a first response, medical teams<br />
from Shizuoka and Nishi-Niigata<br />
national epilepsy centres travelled north<br />
<strong>to</strong> the disaster area bringing s<strong>to</strong>cks of<br />
anti-epilepsy drugs (AEDs) with them.<br />
One team stayed at the biggest shelter<br />
in the area (which had previously been<br />
a school) <strong>to</strong> provide treatment and care<br />
<strong>to</strong> persons with epilepsy who came<br />
looking for help. Another team visited<br />
other shelters announcing they were an<br />
epilepsy specialist team, that they had<br />
AEDs and could give advice. They also<br />
left written notices <strong>to</strong> let people know<br />
that there were AEDs in the school<br />
shelter and in some hospitals.<br />
They and other epilep<strong>to</strong>logists in<br />
disaster area reported back that seizure<br />
activity for a significant number of<br />
people with epilepsy was exacerbated<br />
and some people with epilepsy had<br />
convulsive status epilepticus and were<br />
transported <strong>to</strong> hospital by helicopter,<br />
because the devastation of the tsunami<br />
left a large number of people without<br />
their medication.<br />
Japan <strong>Epilepsy</strong> Society and Shizuoka<br />
<strong>Epilepsy</strong> Center asked pharmaceutical<br />
companies <strong>to</strong> donate supplies of AEDs<br />
and these requests were generously met.<br />
However, transporting the medication<br />
<strong>to</strong> the disaster area remained a large<br />
problem. In the end, the supplies were<br />
transported <strong>to</strong> the hub-hospital by Japan<br />
Trucking Association, following a plea<br />
for help by Japan <strong>Epilepsy</strong> Association.<br />
The supplies were then distributed <strong>to</strong> the<br />
three main hospitals in the area.<br />
Reprinted from IE News, Issue 2011 with<br />
acknowledgement <strong>to</strong> Ann Little.<br />
PRESS DON’T PANIC AUDIO ALERT<br />
The Press Don’t Panic® audio but<strong>to</strong>n<br />
allows the wearer <strong>to</strong> record a<br />
personal message containing emergency<br />
procedure and/or essential medical<br />
information, in any language. This<br />
can then be played back whenever the<br />
wearer requires assistance. Playback can<br />
be initiated by the wearer or by those<br />
offering assistance.<br />
This revolutionary device is designed<br />
primarily for those with conditions<br />
(epilepsy, diabetes, allergies, asthma<br />
etc.) which make it likely that they may<br />
require assistance while out and about,<br />
from members of the public – who don’t<br />
have any medical training.<br />
Those<br />
assisting<br />
will then<br />
know what<br />
<strong>to</strong> do, who<br />
<strong>to</strong> contact<br />
and how <strong>to</strong><br />
administer<br />
any<br />
medication<br />
the wearer may be carrying. This could,<br />
in some cases, be lifesaving.<br />
The Press Don’t Panic® audio but<strong>to</strong>n<br />
is a small device which can be worn<br />
conveniently. It is easily attached <strong>to</strong><br />
outer clothing belt, bag or lanyard. It is<br />
lightweight and aesthetically pleasing <strong>to</strong><br />
the eye.<br />
It features the following key attributes:<br />
• Audio<br />
• Record personal audio message via a<br />
simple but<strong>to</strong>n system<br />
• 120 seconds record time available –<br />
time <strong>to</strong> record specific instructions,<br />
medical information and contact<br />
details<br />
• Message can be recorded in any<br />
language – ideal for foreign holidays<br />
• Clear and audible play back<br />
• Repeated play back of recorded<br />
message<br />
• Ability <strong>to</strong> re record a new message<br />
Sam Docherty – the man<br />
behind the but<strong>to</strong>n<br />
Sam Docherty was diagnosed with a<br />
brain tumour in late 2005. The tumour<br />
was removed in Oc<strong>to</strong>ber 2005. The<br />
neurosurgery was largely successful,<br />
but left Sam with partial paralysis and<br />
epilepsy.<br />
These outcomes inevitably led <strong>to</strong><br />
a restructuring of lifestyle – public<br />
transport, daily medication and seizure<br />
anxiety.<br />
They also led <strong>to</strong> some very legitimate<br />
concerns: What can I do if I suddenly<br />
feel the onset of a seizure, or one starts<br />
before I can alert anyone? How can I<br />
advise anyone who may wish <strong>to</strong> offer<br />
assistance of my condition and the most<br />
appropriate action?<br />
Conscious that the vast majority of<br />
the public (including bus drivers, hotel<br />
and catering staff etc.) have little if any<br />
experience of; epileptic seizure, diabetic<br />
shock and/or coma, anaphylactic shock<br />
due <strong>to</strong> allergies or insect bites/stings,<br />
Sam looked for a product that could help<br />
him alert people <strong>to</strong> what <strong>to</strong> do – and just<br />
as importantly what not <strong>to</strong> do – in the<br />
event of an emergency.<br />
There appeared <strong>to</strong> be only a few<br />
alternatives: a small card which is kept<br />
in a pocket or handbag; a medallion or<br />
wrist bracelet. Each of these have their<br />
own limitations.<br />
Sam believed that the technology<br />
existed <strong>to</strong> create a much better, more<br />
obvious and more functional alternative;<br />
an audio ‘but<strong>to</strong>n’, worn on an outer layer<br />
of clothing.<br />
He spent the next four years designing<br />
and developing the Press Don’t Panic®<br />
audio but<strong>to</strong>n.<br />
Press Don’t Panic® can be purchased<br />
online for $65.60 plus p&h at<br />
www.pressdontpanic.com.au<br />
Quote Promo Code EAPDP1 and Press Don’t<br />
Panic® will donate 5% <strong>to</strong> <strong>Epilepsy</strong> <strong>Australia</strong><br />
CONSUMER UPDATE<br />
Logging seizures and<br />
keeping good records<br />
is an essential skill for<br />
managing epilepsy<br />
and it has never been<br />
easier!<br />
SeizureTracker.com<br />
has announced an entirely new seizure diary<br />
that builds on the original Seizure Tracker<br />
experience. Now <strong>you</strong> can time and videotape<br />
seizures simultaneously<br />
in this revolutionary<br />
and simple <strong>to</strong> use<br />
application. When <strong>you</strong><br />
s<strong>to</strong>p the video and<br />
timer, it immediately<br />
creates an event log that<br />
is s<strong>to</strong>red in a seizure<br />
library. <strong>You</strong> can edit<br />
the event at any time <strong>to</strong><br />
add additional details<br />
about triggers, seizure<br />
description and what happened afterward.<br />
<strong>You</strong> can also use this app <strong>to</strong> log seizures<br />
without videos attached. This information can<br />
be easily synced <strong>to</strong> <strong>you</strong>r SeizureTracker.com<br />
account. From there detailed reports can be<br />
created and shared with <strong>you</strong>r care providers.<br />
Features:<br />
• Time and visually record seizures as they<br />
happen<br />
• Videotape seizures and upload them <strong>to</strong><br />
<strong>You</strong>Tube<br />
• Mark time during recording<br />
• Au<strong>to</strong>matically add recorded seizure <strong>to</strong><br />
Library<br />
• Add additional information <strong>to</strong> seizure<br />
entries<br />
• Create seizure entries without video or<br />
au<strong>to</strong>matic timer<br />
• S<strong>to</strong>re information in Seizure Library<br />
• Sync iPhone logs and videos <strong>to</strong> <strong>you</strong>r free<br />
SeizureTracker.com account <strong>to</strong> create<br />
detailed reports that are easy <strong>to</strong> share<br />
• Graph seizure events by daily count, type,<br />
and time of day<br />
Menstrual Cycle Tracker<br />
The Seizure Tracker Menstrual Cycle <strong>to</strong>ol<br />
allows users <strong>to</strong> record the start of period,<br />
progesterone levels, ovulation and basal<br />
temperature on any given day.<br />
The menstrual cycle <strong>to</strong>ol can be accessed<br />
and edited by visiting the event log.<br />
20 THE EPILEPSY REPORT DECEMBER 2011 THE EPILEPSY REPORT DECEMBER 2011 21
from the library for children<br />
Fly Danny Fly<br />
Chip Gilbertson and Gina Restivo<br />
Illustrations by Michelle Kondrich<br />
Evans<strong>to</strong>n, Ill.<br />
Pig Up Station, c2011<br />
ISBN 978-0-9833689-0-8<br />
Written in gentle rhyming verse<br />
complimented by beautiful illustrations,<br />
Fly Danny Fly is dedicated <strong>to</strong> a lively<br />
little boy, Danny Stan<strong>to</strong>n, who died<br />
through epilepsy. In this thoughtful<br />
s<strong>to</strong>ry we accompany a sensitive boy<br />
as he contemplates his imagination.<br />
We meet his pretend friend – a flying<br />
pig – and his new kindred spirits who<br />
affirm is imaginary companion. Together<br />
they joyfully remind us <strong>to</strong> believe in our<br />
dreams and <strong>to</strong> allow others <strong>to</strong> do the<br />
same in their own way.<br />
A delightful uplifting s<strong>to</strong>ry which will be<br />
enjoyed by children 3-99.<br />
The clinical management of patients<br />
with epilepsy and the associated<br />
medical literature are rapidly evolving.<br />
Evidence-based Management of<br />
<strong>Epilepsy</strong> differs from other epilepsy<br />
text books. It focuses specifically on<br />
Mommy, I Feel Funny<br />
Danielle M. Rocheford.<br />
Illustrations by Chris Herrick<br />
2009<br />
www.wymacpublishing.com<br />
ISBN 978-1-932279-53-5<br />
Based on a true s<strong>to</strong>ry of Nel, a little girl<br />
who experiences having an epileptic<br />
seizure for the first time. The s<strong>to</strong>ry<br />
takes <strong>you</strong> through the days immediately<br />
following her first seizure, bringing out<br />
Nel’s thoughts, fears and emotions,<br />
which are common with the discovery,<br />
understanding and acceptance of<br />
epilepsy.<br />
Having experienced epilepsy first hand<br />
for twenty-five years, the author shares<br />
her feelings through a child’s eye. It is<br />
the hope of the author that children will<br />
be able <strong>to</strong> relate <strong>to</strong> Nel in some way,<br />
and that her s<strong>to</strong>ry offers them support<br />
and reassurance that epilepsy does not<br />
control their life.<br />
<strong>to</strong>pics where the available evidence<br />
is sufficiently well developed <strong>to</strong> be<br />
synthesized in<strong>to</strong> straightforward<br />
summaries of proven therapies, and<br />
hen evidence is missing or there is<br />
doubt, controversy or ambiguity, the<br />
distinguished authors offer treatment<br />
recommendations based on practice<br />
guidelines or consensus statements.<br />
The initial chapters cover critically<br />
important aspects of antiepileptic<br />
Lee, The Rabbit With<br />
<strong>Epilepsy</strong><br />
Deborah M. Moss<br />
Illustrated by Carol Schwartz<br />
Woodbine House, 1989<br />
ISBN 0-933149-32-8<br />
Imaginatively written and beautifully<br />
illustrated, this delightful book tells the<br />
s<strong>to</strong>ry of Lee and her family as they face<br />
the challenges of epilepsy.<br />
From Lee’s first seizure and initial visit<br />
<strong>to</strong> the doc<strong>to</strong>r, through her diagnosis and<br />
treatment, the book explains epilepsy<br />
directly <strong>to</strong> children – not only <strong>to</strong> the child<br />
who has epilepsy, but <strong>to</strong> brothers, sisters,<br />
and friends as well.<br />
The s<strong>to</strong>ry of Lee reassures the entire<br />
family with a positive, yet realistic look at<br />
epilepsy.<br />
Evidenced-based Management of <strong>Epilepsy</strong><br />
Dr Steven C. Schachter MD<br />
tfm publishing Ltd, UK<br />
ISBN 978 1 903378 7799<br />
drugs (AEDs) and surgical treatment,<br />
such as when <strong>to</strong> start and s<strong>to</strong>p AEDs,<br />
how <strong>to</strong> moni<strong>to</strong>r their effectiveness,<br />
special considerations in women who<br />
become pregnant, and when <strong>to</strong> consider<br />
surgery <strong>to</strong> alleviate seizures. The<br />
following chapters look at depression<br />
and anxiety, treatment of the post-ictal<br />
state, technologies <strong>to</strong> predict and detect<br />
seizures, strategies for closing the<br />
treatment gap, and sudden unexpected<br />
death in epilepsy. The final chapters<br />
discuss behavioural therapies in the<br />
treatment of adults with epilepsy,<br />
herbal remedies, and the treatment of<br />
psychogenic non-epileptic seizures.<br />
22 THE EPILEPSY REPORT DECEMBER 2011 THE EPILEPSY REPORT DECEMBER 2011 23<br />
“<br />
face2face<br />
As the librarian of the most comprehensive epilepsy library in<br />
the southern hemisphere, located at the <strong>Epilepsy</strong> Foundation of<br />
Vic<strong>to</strong>ria, Pauline Brockett brings a wealth of knowledge and<br />
experience <strong>to</strong> this specialist role.<br />
Looking back on my working life,<br />
I have always been surrounded by<br />
books. Yet my aspiration was <strong>to</strong> be a<br />
nurse.<br />
However while waiting <strong>to</strong> be old<br />
enough <strong>to</strong> be accepted in<strong>to</strong> training, I<br />
worked as a junior librarian at the US<br />
Information Library in Melbourne,<br />
part of the United States Information<br />
Service. When Dwight D. Eisenhower<br />
was elected US President, some<br />
eighteen months later, he closed most<br />
of the US information libraries around<br />
the world, including the Melbourne<br />
facility.<br />
This then gave me the opportunity<br />
<strong>to</strong> follow my dream and I began<br />
nursing training. As life has taught<br />
me, dreams don’t always live up <strong>to</strong><br />
our expectations, and after nursing for<br />
nine months, I decided it wasn’t for<br />
me.<br />
With my appetite whetted for<br />
librarianship, I began working first<br />
at the Northcote Public Library and<br />
then, with the Preliminary Library<br />
Certificate, was librarian at Kraft<br />
Foods Ltd for thirteen years, in their<br />
private library attached <strong>to</strong> the research<br />
labora<strong>to</strong>ries. Later, after completing<br />
a RMIT library qualification, on a<br />
Government Studentship, I was posted<br />
<strong>to</strong> the library at the Department of<br />
Foreign Affairs in Canberra, before<br />
moving on <strong>to</strong> Adelaide where I worked<br />
at the Bureau of Statistics.<br />
Marriage <strong>to</strong> an Army officer saw me<br />
head off <strong>to</strong> Singapore for three years<br />
and two beautiful daughters, Emma<br />
and Rebecca, soon followed.<br />
When my girls commenced<br />
secondary school, I began working<br />
at the Northern Institute of TAFE,<br />
where I gained further experience,<br />
first as a Research Librarian and<br />
then as a Mobile Librarian, visiting<br />
community centres, including Fairlea<br />
Women’s Prison, before moving on <strong>to</strong><br />
the position of Greensborough Campus<br />
Librarian.<br />
Working with books has proved <strong>to</strong><br />
be an extremely interesting career.<br />
Reference work is my favourite aspect<br />
of the profession as I really enjoy<br />
‘playing detective’.<br />
After working for a short time<br />
at the library for the Alzheimer’s<br />
Association, I joined the <strong>Epilepsy</strong><br />
Foundation of Vic<strong>to</strong>ria in 2002.<br />
Of all the positions I have held, I<br />
have found the work at the Foundation<br />
<strong>to</strong> be the most stimulating. Having<br />
a personal interest in epilepsy,<br />
managing the information services for<br />
the Foundation continues <strong>to</strong> be very<br />
rewarding.<br />
The <strong>Epilepsy</strong> Foundation Library<br />
holds the most comprehensive epilepsy<br />
collection in the southern hemisphere<br />
and supports a wide range of clients,<br />
including people with epilepsy,<br />
carers, children, medical and health<br />
professionals and the wider public with<br />
an interest in the epilepsy.<br />
The collection comprises more<br />
than 2,600 books and audio visual<br />
materials, complete holdings of the<br />
major epilepsy-related journals plus<br />
extensive current information files<br />
containing articles on many subjects<br />
relating <strong>to</strong> both the study of epilepsy<br />
and living with epilepsy.<br />
My role of developing and<br />
maintaining the collection and<br />
disseminating information, includes<br />
assisting with all requests for<br />
information, including literature<br />
searches, whether made in person, by<br />
telephone, letter, email or website. The<br />
library has access <strong>to</strong> a wide range of<br />
journal articles and shares membership<br />
through other libraries and via the<br />
inter-library cooperative, Gratisnet.<br />
Through interstate and international<br />
requests for information, I have<br />
established contacts from around the<br />
world and am pleased <strong>to</strong> have been able<br />
<strong>to</strong> assist with their work furthering our<br />
understanding of epilepsy.<br />
An additional rewarding role is<br />
membership of the Research Group<br />
which contributes <strong>to</strong> the development<br />
of Social Research in <strong>Australia</strong>.<br />
I have also been privileged <strong>to</strong><br />
coordinate the Biennial Memorial<br />
Service in remembrance of those who<br />
have died through epilepsy. Next year<br />
we will be holding our 6th service in<br />
12 years. These services are highly<br />
anticipated events that enable families<br />
<strong>to</strong> remember and celebrate the lives of<br />
loved ones who have died.<br />
Personally, I am currently, with<br />
flexible support from the Foundation,<br />
completing a Bachelor Degree of<br />
Western Culture. Although finding<br />
essays and exams very challenging,<br />
I am enjoying every moment spent at<br />
university.<br />
I have worked at the Foundation now<br />
for nine years and during this time I<br />
have been privileged <strong>to</strong> work with and<br />
assist many researchers completing<br />
their doc<strong>to</strong>ral theses. One of the most<br />
exciting projects I have been associated<br />
with is Jim Chambliss’s research on<br />
epilepsy and art. The complex nature<br />
of this research continues <strong>to</strong> engage<br />
me.<br />
Please visit our library at http://<br />
www.epinet.org.au/articles/library<br />
“
9th ASIAN & OCEANIAN EPILEPSY CONGRESS<br />
22-25 MARCH 2012 MANILA, PHILIPPINES<br />
24 THE EPILEPSY REPORT DECEMBER 2011