Research Article
Volume 13 Issue 5 - 2021
Recovering Cognitive Deficit in Epilepsy: Innovative “BrainNext” Tools Program at Epilepsy Foundation, India
Mangal Shirish Kardile1 and Nirmal Surya2*
1Consulting Neuropsychologist, Epilepsy Foundation, Sancheti Hospital, Mental Health Aims, Nashik, India
2Assistant Professor, Department of Neurology, Bombay Hospital Institute of Medical Sciences and Epilepsy Foundation, Mumbai, India
*Corresponding Author: Nirmal Surya, Assistant Professor, Department of Neurology, Bombay Hospital Institute of Medical Sciences and Epilepsy Foundation, Mumbai, India.
Received: March 05, 2021; Published: April 23, 2021




Abstract

Introduction: Epilepsy is observed at any age from a newborn infant to elder adults, having long term effects on physical, psychological and cognitive capacity of the affected individual [1,2]. Epilepsy causes significant cognitive impairment and the longest YLD as compared to other neurological population [3,4]. This study focuses on 19 months systematic cognitive rehab program for 152 epilepsy patients, using "BrainNext", tools, the concept based on synaptic plasticity [3].

Materials and Methods: Based on clinical history of Epilepsy Patients N = 152, ages 2.6 to 45 were tested and given memory and cognitive training program using innovative Global and National award winning “BrainNext” tools at “Epilepsy Foundation”, India. Patients belonged to varied socio-economic, educational and cultural backgrounds. The caregiver was trained, covering 2 to 3 cognitive domains at a time as applicable with certain time duration follow-ups for 4 to 5 months. To measure the progress, 1 to 10 rating scale was used, score 1 as 10% and 10 as 100% recovery. 0% was set as the baseline condition for all.

Results and Discussion: Responses evaluated at each follow-up, Caregiver support and regular follow-up. Patients N = 66 for 4 months improved memory, cognitive and behavior responses > 45% to 80% from the baseline condition, amongst 26 improved up-to caregiver’s satisfaction needed no further visits. Patients N = 80 with moderate caregiver support, intermittent gaps and irregular follow-up for 9 months improved memory, cognitive tasks and behavior with 25% to 55% from the baseline condition, excluded N=6 patients with < 15 days training.

Conclusion: “BrainNext” award winning tools are safe, durable, easy to use, yield positive results apart from YLD of patient. Besides uncontrolled seizures and cognitive disability the patient and caregiver could follow cognitive rehab with own pace, without barrier, improving cognitive learning capacity, lessening caregiver’s burden. Patients having developmental disorders built sensory capacity for pain and temperature and the sense of “cautiousness” for the first-time. Overall patients improved in speech, attention, concentration, stability, emotional expression and motor control improving quality of life.

Keywords: Epilepsy; Seizures; Memory; Cognitive; BrainNext; Neurorehabilitation

References

  1. Bruce Hermann and Michael Seidenberg. “Epilepsy and Cognition”. Epilepsy Current1 (2007): 1-6.
  2. Greener M. “Beyond seizures: understanding cognitive deficits in epilepsy”. Progress in Neurology and Psychiatry (2013).
  3. Kardile M. “Excellence in diagnosis in culturally diverse settings: the development of Universal Memory and Cognitive Exam (UMACE)”. Oral presentation at "The 26th Annual Conference of Alzheimer Europe" Copenhagen, Denmark Alzheimer’s Europe (2016).
  4. Kardile M., et al. “The development of a new screening tool for cognitive impairment in India: the universal memory and cognitive exam (UMACE)”. International Journal of Health Sciences and Research 5 (2018): 226-234.
  5. Kardile M and Surya N. “Epilepsy and Cognitive rehabilitation >125 patients”. Award paper 27th Annual Conference IANCON (2019): Indian Academy of Neurology: Hyderabad (2019).
  6. Kardile M and Surya N. “Epilepsy Case study oral presentation”. 7th Annual Conference IFNRCON 2019- Indian Federation of Neurorehabilitation and Neurorehab Sub-Section of Indian Academy of Neurology, Mumbai (2019).
  7. Nirmal Surya., et al. “Comprehensive Epilepsy care during the lockdown due to COVID-19 Pandemic in INDIA: Epilepsy Foundation India Model”. International Journal of Current Research07 (2020): 12159-12162.
  8. Kardile M and Sancheti K. “Memory Recall and Cognitive Recovery for Alzheimer’s and Dementia: A Systematic Neurorehabilitation Program for 42 Dementia Patients Using “BrainNext” Tools at Sancheti Hospital, Pune, India”. EC Neurology7 (2020): 48-56.
  9. Kardile M and Surya N. “Epilepsy Case study poster presentation”. 21st Joint Annual Conference ECON (2020): Indian Epilepsy Association and Indian Epilepsy Society: Ahmedabad (2020).
Citation: Mangal Shirish Kardile and Nirmal Surya. “Recovering Cognitive Deficit in Epilepsy: Innovative “BrainNext” Tools Program at Epilepsy Foundation, India”. EC Neurology 13.5 (2021): 82-92.

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