Questions for the Consultant: Seizures and Epilepsy

Joseph I. Sirven, Richard S. Zimmerman

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Issues regarding management of acute and chronic seizures constitute one of the more frequent consultations that all neurologists encounter. With a significant medical and surgical therapeutic armamentarium now available, many clinicians are perplexed about how to approach the most basic of seizure consultation questions. In this article, four of the most commonly asked seizure consultation questions are reviewed: when antiepileptic drug (AED) treatment should be initiated; how to choose an AED; when to refer a patient for surgery; and when to withdraw AEDs in a seizure-free patient. By utilizing frequently encountered clinical scenarios, the decision-making process to best illustrate application of existing clinical evidence to the individual patient is explored.

Original languageEnglish (US)
Pages (from-to)285-294
Number of pages10
JournalSeminars in Neurology
Volume23
Issue number3
DOIs
StatePublished - Sep 1 2003

Keywords

  • Antiepileptic drug therapy
  • Seizure

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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