Clinicians' views on antiepileptic medication management in nonepileptic seizures

Sigita Plioplys*, Prabha Siddarth, Miya R. Asato, Rochelle Caplan

*Corresponding author for this work

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Discontinuation of antiepileptic drugs should be a first step in treatment of nonepileptic seizures without comorbid epilepsy. However, clinical practices vary and standardized guidelines are not available. The aim of this study was to survey members of the American Epilepsy and Child Neurology Societies about factors that influence their decision about antiepileptic drug management in patients with nonepileptic seizures. A total of 236 respondents completed this survey, of whom 84% were academic pediatric neurologists and 96.2% were very willing to discontinue antiepileptic drugs in these patients. Clinicians with sufficient knowledge about nonepileptic seizures had fewer concerns about the potential for medical errors, were less influenced by requests made by patients or parents to continue antiepileptic drugs, and were comfortable making this decision if patients receive ongoing psychiatric care. Results of this survey highlight the need to examine if the same factors are involved in a large sample of community clinicians.

Original languageEnglish (US)
Pages (from-to)746-750
Number of pages5
JournalJournal of child neurology
Volume29
Issue number6
DOIs
StatePublished - Jun 2014

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Keywords

  • Antiepileptic drugs
  • Child neurologists
  • Epilepsy
  • Nonepileptic seizures
  • Survey
  • Treatment

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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