A Multidisciplinary Team-Based Approach to Optimizing Outcomes in Developmental and Epileptic Encephalopathies: Clinical Pearls for the Community Practitioner
Podcast 2: Treatment Considerations and Transitions of Care
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Which of the following is true regarding transitions of care in the context of epilepsy?
Care transition for patients with epilepsy should generally be the same, regardless of the type of epilepsy and presence of comorbidities
Care transitions are usually unnecessary since epilepsy resolves in nearly all children by early adolescence
For adolescents with epilepsy, care transitions are often more difficult due to a high frequency of neurodevelopmental and mental health problems
In a young person with epilepsy and intellectual disability, care transition should be similar to a patient with normal cognitive function
A 6-year-old girl was diagnosed with Lennox-Gastaut syndrome at 3 years of age. She has been demonstrating increasing behavior concerns particularly in school (agitation, inability to focus, and hyperexcitability). Since diagnosis, she has been given valproate and lamotrigine with limited success. For this patient, would cannabidiol be a reasonable option at this time?
Yes, it could be used in this treatment-refractory patient
No, because it is not approved for Lennox-Gastaut syndrome
No, because the patient is not old enough (CBD is only approved in patients 18+)
No, because of the concern for psychoactive effects
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