MANAGEMENT OF EPILEPSY IN DRUG-RESISTANT PATIENTS

被引:1
|
作者
Smith, Brien J. [1 ,2 ]
机构
[1] Henry Ford Hosp, Comprehens Epilepsy Program, Detroit, MI 48202 USA
[2] Wayne State Univ, Dept Neurol, Detroit, MI 48202 USA
关键词
GAMMA-KNIFE RADIOSURGERY; TEMPORAL-LOBE EPILEPSY; NERVE-STIMULATION; MARIJUANA; SURGERY; REDUCTION;
D O I
10.1017/S1092852900000134
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Epilepsy affects >2 million people in the United States, making it one of the most common neurobiological conditions. Typically, epilepsy is treated with one of several available antiepileptic drugs and patients are able to experience freedom from seizures with minimal side effects. However, there are some patients who do not respond to treatment and require the use of multiple drug combinations or surgical intervention. Although there are few studies supporting its use, multi-drug regimens have been known to be helpful for patients, although clinicians should monitor patients for adverse side effects. Vagus nerve stimulation is the only US Food and Drug Administration-approved surgical neurostimulation therapy for epilepsy, and patients' conditions often progress for many years before epilepsy surgery options are considered. Lastly, due to the chronic nature of epilepsy, clinicians should be aware of the presence of comorbid psychiatric conditions as well. This supplement is Part One in the "Case in Point: Evidence-Based Insights for Epilepsy Management" series. In this Expert Review Supplement, Andrew J. Cole, MD, FRCPC, outlines a case of a patient with drug resistant epilepsy, and Brien J. Smith, MD, outlines the best practices for the case patient including discussion on defining drug resistance in patients as well as the benefits and risks of available and emerging drug and surgical treatments.
引用
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页码:3 / +
页数:5
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