General Internal Medicine

Epilepsy

Questions discussed in this category

When do you use seizure prophylaxis in patients on clozapine?

7 Answers available

When do you attribute tremors to lamotrigine?

1 Answer available

What role do anti-seizure medication levels, such as levetiracetam, serve in seizure-free patients?

Is there a role in adjusting the medication doses to levels in seizure-free patients; or is it sufficient to just monitor patients clinically?

5 Answers available

What prompts you to procure EEG and/or imaging in patients presenting with multiple simple febrile seizures?

1 Answer available

How do you approach use of DMARDs and/or biologics for inflammatory arthritis in patients with a history of seizure disorder on anti-epileptic medications?

Is there any concern for drug interactions of DMARDs and/or biologics with anti seizure medications?

1 Answer available

How do you apply the 2HELPS2B score into clinical decision making for determining duration of cEEG testing?

1 Answer available

When do you consider stenting in patients with recurrent stroke with ICAD?

2 Answers available

How frequently do you monitor EKGs for patients newly initiated on lacosimide?

1 Answer available

Is intracranial hemorrhage a contraindication for valproic acid?

1 Answer available

How do you approach the management of patients on lamotrigine who develop a minor rash?

Should one restart lamotrigine or look for an alternative? If no other alternative available, is slow titration vs regular titration preferred?

4 Answers available

When do you use levocarnitine in patients on Depakote therapy for seizures?

1 Answer available

How do you approach the initiation and/or continuation of antiseizure medication in a patient who has experienced one lifetime seizure with a normal EEG and MRI with a comorbid health condition that is associated with an increased risk of epilepsy?

(e.g. Alzheimer's disease)?

1 Answer available

How does the FDA safety warning on the cardiac effects of lamotrigine, based on in vitro data, inform your clinical practice?

This question is intended to include consideration of cardiac diagnostic screening, as well as initiation & maintenance of lamotrigine, in epileps...

1 Answer available

Papers discussed in this category

Neurology, 2018-10-09

Antiepileptic drug treatment after an unprovoked first seizure: A decision analysis.

Stroke, 2019-04

WEAVE Trial: Final Results in 152 On-Label Patients.

Neurology, 1991 Mar

Clozapine-related seizures.

Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists, 2013 Aug 31

Use of anticonvulsants as prophylaxis for seizures in patients on clozapine.

Related Topics in General Internal Medicine