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**133**

**Chapter 8**

**Abstract**

**1. Introduction**

Epilepsy

The Role of Nondrug Treatment

Methods in the Management of

*Natalia Shnayder, Ekaterina Narodova, Valeriya Narodova,* 

The review is devoted to the issue of nondrug epilepsy treatment in the adult population in Russia and abroad. The conducted literature review allowed us to reveal the basic nondrug epilepsy treatment options. However, not all of these options have a sufficient evidence base, and some of them are not always safe. Particularly, methods with low level of evidence include acupuncture and aromatherapy. Further studies are needed to explore the methods aimed to eliminate the epileptic system dominant through the development of a new, more powerful dominant. One of the methods, which can influence the pathogenesis of epilepsy, is physical activity for patients with epilepsy, since epileptiform activity on the EEG is reported to disappear during exercises. The positive results of the application of art therapy (music therapy) are also described in the modern literature. Tеmporhythm correction methods hold a specific place in neurorehabilitation. There are considerable amount of studies concerning the application of tempo-rhythmic methods in neurology and psychiatry. It can be concluded that these methods are relevant worldwide and can be used in diagnostics and correction of neurological and psychiatric diseases (such as schizophrenia, Parkinson's disease, epilepsy).

**Keywords:** epilepsy, adults, nonpharmacological treatment, review, tapping

or reducing the number of seizures only in 60–70% of patients [3].

According to the world statistics, epilepsy takes the third place among overall morbidity after cardiovascular diseases and diabetes mellitus and the third place in neurological morbidity [1]. Therefore, epilepsy is a relevant public health problem both in Russia and abroad [2]. This fact fosters the development and implementation of medicinal and alternative (nondrug) methods of epilepsy treatment around the world. However, current epilepsy treatment options allow achieving remission

An important problem of epileptology is ensuring the safety and acceptability of the treatment as well as prevention of adverse drug reaction (ADR) of antiepileptic drugs (AEDs). The emergence of the ASEs can often decrease patients' life quality, thereby offsetting the positive effect of the treatment. Moreover, such ASEs as depression and anxiety (the fear of the coming seizure) may aggravate epileptic seizures [4]. Some ASEs are associated with the AEDs' effects on the liver enzymes.

*Andrey Narodov and Evgeniy Erakhtin*
