Doing routine monitoring of drug levels of the newer antiepileptic drugs (AEDs) may not lead to better seizure control or treatment tolerance for patients with epilepsy, according to a randomized trial from Switzerland.
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Pediatric Epilepsy
Using human nerve cells and three-dimensional “mini brains,” researchers have found that dysfunctional potassium channels may underlay the development of seizures associated with Angelman syndrome.
This study is the first to demonstrate that a particular feature of epilepsy—namely the desynchronization of interneuronal populations in the hippocampus—causes deficits in spatial information coding.
These findings suggest that ineffective AEDs should be replaced, rather than introducing additional AEDs to a treatment regimen.
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Significant associations were found between ineffective medication and feelings of stigma or embarrassment about epilepsy with perceived prescribing errors.
SUDEP
A 15-fold risk was observed in correlation with the presence of nocturnal GTCS during the last year of observation.
Adopting a universally accepted terminology to describe this disorder could standardize the approach to the illness and facilitate communication between healthcare professionals, patients, their families, carers, and the wider public.