Survey of current practices among US epileptologists of antiepileptic drug withdrawal after epilepsy surgery.

Loading...
Thumbnail Image

Date

2013-02

Journal Title

Journal ISSN

Volume Title

Citation Stats

Abstract

In order to identify the current practices of antiepileptic drug (AED) withdrawal after epilepsy surgery, a survey was administered to 204 adult and pediatric epileptologists. The responses from 58 epileptologists revealed wide variations regarding the time course and extent of AED withdrawal after successful epilepsy surgery. For most of the epileptologists, the likelihood of the surgery being successful is an important factor in determining whether or not AEDs are tapered. Most of the respondents started to taper AEDs more rapidly than suggested by previous reports. The majority of the epileptologists were able to stop all AEDs completely in a substantial number of patients. The most important factors considered when deciding to taper AEDs were the presence of ongoing auras and the occurrence of postoperative seizures prior to seizure remission. In the absence of data from well-designed prospective trials, such survey results can inform practice and, hopefully, aid in the design of future trials.

Type

Journal article

Department

Description

Provenance

Subjects

Anticonvulsants, Epilepsy, Health Care Surveys, Humans, Neurology, Practice Patterns, Physicians', Recurrence, Withholding Treatment

Citation

Published Version (Please cite this version)

10.1016/j.yebeh.2012.11.053

Publication Info

Swisher, Christa B, and Saurabh R Sinha (2013). Survey of current practices among US epileptologists of antiepileptic drug withdrawal after epilepsy surgery. Epilepsy Behav, 26(2). pp. 203–206. 10.1016/j.yebeh.2012.11.053 Retrieved from https://hdl.handle.net/10161/13726.

This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.


Unless otherwise indicated, scholarly articles published by Duke faculty members are made available here with a CC-BY-NC (Creative Commons Attribution Non-Commercial) license, as enabled by the Duke Open Access Policy. If you wish to use the materials in ways not already permitted under CC-BY-NC, please consult the copyright owner. Other materials are made available here through the author’s grant of a non-exclusive license to make their work openly accessible.