Stopping antiepileptic drugs after epilepsy surgery: A survey of US epilepsy center neurologists

被引：45

作者：

Berg, Anne T.

Langfitt, John T.

Spencer, Susan S.

Vickrey, Barbara G.

机构：

[1] Univ Calif Los Angeles, Dept Neurol, Los Angeles, CA 90095 USA

[2] No Illinois Univ, Dept Biol, De Kalb, IL 60115 USA

[3] Univ Rochester, Sch Med, Dept Neurol & Psychiat, Rochester, NY 14642 USA

[4] Yale Univ, Sch Med, Dept Neurol, New Haven, CT 06510 USA

来源：

EPILEPSY & BEHAVIOR | 2007年 / 10卷 / 02期

关键词：

antiepileptic drugs; epilepsy surgery; management policies; stopping drugs; survey;

D O I：

10.1016/j.yebeh.2006.12.001

中图分类号：

B84 [心理学]; C [社会科学总论]; Q98 [人类学];

学科分类号：

03 ; 0303 ; 030303 ; 04 ; 0402 ;

摘要：

One hundred fifty-one neurologists at U.S. epilepsy centers responded to a survey on stopping medications in patients following successful resective epilepsy surgery. Sixty-two percent said patients should be >= 2 years seizure-free before stopping medication. Although respondents tended to agree about the importance of many of the queried factors (e.g., focal pathology in favor of and persistent auras against stopping antiepileptic drugs), it is unclear how well these factors determine seizure outcome in this setting. (c) 2006 Elsevier Inc. All rights reserved.

引用

收藏

页码：219 / 222

页数：4

相关论文

共 10 条

[1] A comparison of observational studies and randomized, controlled trials. [J].

Benson, K ;

Hartz, AJ .

NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (25) :1878-1886

[2] Reduction of AEDs in postsurgical patients who attain remission [J].

Berg, AT ;

Vickrey, BG ;

Langfitt, JT ;

Sperling, MR ;

Shinnar, S ;

Bazil, C ;

Walczak, T ;

Spencer, SS .

EPILEPSIA, 2006, 47 (01) :64-71

[3] Practice parameter: Temporal lobe and localized neocortical resections for epilepsy - Report of the quality standards subcommittee of the American Academy of Neurology, in association with the American Epilepsy Society and the American Association of Neurological Surgeons [J].

Engel, J ;

Wiebe, S ;

French, J ;

Sperling, M ;

Williamson, P ;

Spencer, D ;

Gumnit, R ;

Zahn, C ;

Westbrook, E ;

Enos, B .

NEUROLOGY, 2003, 60 (04) :538-547

[4] Antiepileptic drug withdrawal after successful surgery for intractable temporal lobe epilepsy [J].

Kim, YD ;

Heo, K ;

Park, SC ;

Huh, K ;

Chang, JW ;

Choi, JU ;

Chung, SS ;

Lee, BI .

EPILEPSIA, 2005, 46 (02) :251-257

[5] Seizure outcome after temporal lobectomy: Current research practice and findings [J].

McIntosh, AM ;

Wilson, SJ ;

Berkovic, SF .

EPILEPSIA, 2001, 42 (10) :1288-1307

[6] Temporal lobectomy: long-term seizure outcome, late recurrence and risks for seizure recurrence [J].

McIntosh, AM ;

Kalnins, RM ;

Mitchell, LA ;

Fabinyi, GCA ;

Briellmann, RS ;

Berkovic, SF .

BRAIN, 2004, 127 :2018-2030

[7] Discontinuation of antiepileptic drugs after successful epilepsy surgery [J].

Schiller, Y ;

Cascino, GD ;

So, EL ;

Marsh, WR .

NEUROLOGY, 2000, 54 (02) :346-349

[8] Seizure recurrence after planned discontinuation of antiepileptic drugs in seizure-free patients after epilepsy surgery:: A review of current clinical experience [J].

Schmidt, D ;

Baumgartner, T ;

Löscher, L .

EPILEPSIA, 2004, 45 (02) :179-186

[9] Predicting long-term seizure outcome after resective epilepsy surgery - The Multicenter Study [J].

Spencer, SS ;

Berg, AT ;

Vickrey, BG ;

Sperling, MR ;

Bazil, CW ;

Shinnar, S ;

Langfitt, JT ;

Walczak, TS ;

Pacia, SV .

NEUROLOGY, 2005, 65 (06) :912-918

[10] A randomized, controlled trial of surgery for temporal-lobe epilepsy [J].

Wiebe, S ;

Blume, WT ;

Girvin, JP ;

Eliasziw, M .

NEW ENGLAND JOURNAL OF MEDICINE, 2001, 345 (05) :311-318