Journal of the Royal Society of Medicine, Vol 84, Issue 3 159-162, Copyright © 1991 by Royal Society of Medicine
ORIGINAL ARTICLES |
JS Duncan
Institute of Neurology, National Hospital for Neurology and Neurosurgery, London.
Of patients who develop epilepsy 70-80% will become seizure free, the remaining 20% are the most difficult to treat satisfactorily. Eighty per cent of patients are best treated with a single drug. Stepwise treatment plans for the treatment of newly diagnosed patients and for the evaluation of patients with chronic epilepsy are suggested. There is a lack of consensus regarding the rate at which to taper antiepileptic drugs being discontinued in patients with active epilepsy. There are arguments for making drug changes rapidly; these arguments and strategies for managing the withdrawal of individual drugs are presented.
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H. A. Carpay, W. F. M. Arts, A. T. Geerts, H. Stroink, O. F. Brouwer, A. C. B. Peters, and C. A. van Donselaar Epilepsy in Childhood: An Audit of Clinical Practice Arch Neurol, May 1, 1998; 55(5): 668 - 673. [Abstract] [Full Text] [PDF] |
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