Neurology

Epilepsy

Questions discussed in this category

What is your first line treatment for a patient with epilepsy who is homeless and has a history of poor adherence?

2 Answers available

How frequently do you check AED levels in patients with stable epilepsy?

4 Answers available

When do you use levocarnitine in patients on Depakote therapy for seizures

1 Answer available

Do you use vitamin B6 to help with keppra irritability?

6 Answers available

Are there certain sedatives or anti-epileptic meds to avoid in patients with IDD?

What are your thoughts on the ethics of inpatient use of sedatives in these patients to help with agitation to “protect themselves from harm and...

4 Answers available

How do you counsel patients on anti-seizure medication necessity (or lack thereof) in the setting of PNES without comorbid epilepsy?

Occasionally, patients referred for dedicated epilepsy management for "medication refractory epilepsy" are found to have purely non-epileptic spells. ...

2 Answers available

What monitoring do you routinely perform on lifelong EDS for epilepsy syndromes?

1 Answer available

How do you counsel patients on driving who have PNEA?

5 Answers available

For patients with generalized tonic-clonic seizures lasting > 2 minutes without IV access, what alternative medications can be used?

1 Answer available

How does the FDA safety warning on the cardiac effects of lamotrigine, based on in vitro data, inform your clinical practice?

This question is intended to include consideration of cardiac diagnostic screening, as well as initiation & maintenance of lamotrigine, in epileps...

1 Answer available

How do you taper off Clonazepam in women with epilepsy who are family planning?

How can one safely taper off and stop clonazepam in a woman of reproductive age with epilepsy who is taking it chronically for epilepsy and is plannin...

1 Answer available

How do you approach the management of patients on lamotrigine who develop a minor rash?

Should one restart lamotrigine or look for an alternative? If no other alternative available, is slow titration vs regular titration preferred?

4 Answers available

Is unilateral intracranial EEG monitoring ever appropriate in the pre-surgical workup for presumed non-lesional epilepsy?

The thought being, if no clearly defined lesion exists on available neuroimaging, how do we balance the benefits, risks, and uncertainty in choosing w...

1 Answer available

What AEDs prevent spikes and sharp waves?

3 Answers available

What is the negative predictive value of a completely unremarkable EMU admission?

By completely unremarkable, I mean zero clinical events AND zero interictal abnormalities despite full withdrawal of medications. Assume, for the sake...

2 Answers available

In what clinical situations do you treat triphasic waves on EEG?

What are some high-yield instances where triphasic waves on electroencephalogram (EEG) are more than just harmless markers of gross toxic-metabolic en...

2 Answers available

How do you treat refractory focal status epilepticus in patients with traumatic bilateral subdural hematomas?

How do you treat refractory focal status epilepticus in an adult with history of alcoholism and traumatic bilateral subdural hematomas who is failing ...

1 Answer available

How do you prescribe Perampanel for use in patients with refractory status epilepticus?

What is the your preferred loading (and maintenance) dose for use of Perampanel in the treatment of refractory status epilepticus?

2 Answers available

At what intervals do you obtain DEXA scans for patients on antiseizure medications?

The question is broad and is meant to include patients who have healthy BMD, osteopenia, and osteoporosis, as well as exposure to first generation AED...

1 Answer available

What treatments would you recommend in patients with adult-onset Rasmussen’s encephalitis after the patient is on two or more AEDs?

Is there an AED of choice?

1 Answer available

How do you tailor seizure medications in patients who become pregnant or are family planning?

1 Answer available

In patients in the ICU who are on the inter-ictal continuum, how do you decide whether or not to treat for potential non-convulsive status epilepticus?

In patients undergoing continuous EEG monitoring in the ICU, we often encounter EEG patterns that lie along the inter-ictal continuum (IIC). In such c...

1 Answer available

Do you recommend pre-emptive anti-epileptic treatment for patients with spontaneous ICH?

If so, for how long?

3 Answers available

At what point could starting AEDs be considered for patients with recurrent simple febrile seizures?

What steps should be taken to wean them off?

1 Answer available

At what point do you refer patients with medication refractory epilepsy for surgical evaluation?

2 Answers available

At what point is it warranted to send an autoimmune epilepsy panel in patients?

1 Answer available