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Cross Sectional Study of Reporting of Epileptic Seizures to General Practitioners
BMJ 320:94-97, Dalrymple,J. & Appleby,J., 2000
See this aricle in Pubmed

Article Abstract
18 patients failed to report a seizure in the past year to their general practitioner (uncontrolled epilepsy). 40% (24/60) of people with epilepsy who anonymously reported a seizure in the past year held a driving license, but only six reve aled this to their general practitioner. The unemployment rate was 34%, substantially higher than the 9% in the general population. Measures of anxiety, depression, and stigmatisation were higher in patients with uncontrolled epilepsy. A significant pr oportion of patients with epilepsy underreport their seizures. Recognition of underreporting is important if patients are to benefit from adequate and appropriate treatment. General practitioners' ability to treat epilepsy is hampered by their role in regulating the rights of epileptic patients to hold a driving license or access certain occupations.
 
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