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Semin Neurol 2020; 40(06): 624-637
DOI: 10.1055/s-0040-1719069
Review Article

Epilepsy: Workup and Management in Adults

Rebecca O'Dwyer
1   Department of Neurological Science, Rush University Medical Center, Chicago, Illinois
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Abstract

When managing epilepsy, there is a temptation to focus care with respect to the last and the next seizure. However, epilepsy is a multifaceted chronic condition and should be treated as such. Epilepsy comes with many physical risks, psychological effects, and socioeconomic ramifications, demanding a long-term commitment from the treating physician. Patients with epilepsy, compared to other chronically ill patient populations, have a worse quality of life, family function, and less social support. The majority of patients are well controlled on antiseizure drugs. However, approximately one-third will continue to have seizures despite optimized medical management. The primary aim of this article is to explore the long-term management of chronic epilepsy, and to address some of the particular needs of patients with chronic epilepsy.

Keywords

epilepsy - medical management - breakthrough seizures - women with epilepsy - older adults


Publication History

Article published online:
11 November 2020

© 2020. Thieme. All rights reserved.

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