TY - JOUR
T1 - Multidisciplinary approach to childhood epilepsy
T2 - Exploring the scientific rationale and practical aspects of implementation
AU - Goldstein, Joshua
AU - Plioplys, Sigita
AU - Zelko, Frank
AU - Mass, Sarah
AU - Corns, Christine
AU - Blaufuss, Robert
AU - Nordli, Douglas
N1 - Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2004/5
Y1 - 2004/5
N2 - The management of childhood epilepsy requires attention to more than seizure control because children with epilepsy often suffer from comorbidities that lead to an increased frequency of psychiatric disease, learning difficulties, and other problems of psychosocial development. These comorbidities can stem in part from the same genetic traits that determine seizure susceptibility. Thus, mutations affecting potassium, calcium, and sodium channels have been linked with epilepsy syndromes and affective and behavioral abnormalities. It is important to consider the effect of antiepilepsy drugs on comorbid conditions and the effect on seizures of drugs used to treat comorbidities. A number of antiepilepsy drugs are available that have minimal adverse cognitive effects, and some can have positive effects on mood and behavior. Epilepsy in a child is a condition that affects and is affected by the entire family situation. In addition to appropriate neuropsychologic evaluation, optimal management of childhood epilepsy also can require the involvement of the social worker, advanced practice nurse, and educational specialist. Many elements of the multidisciplinary team approach can be instituted by the child neurologist in community practice and at large, specialized epilepsy centers.
AB - The management of childhood epilepsy requires attention to more than seizure control because children with epilepsy often suffer from comorbidities that lead to an increased frequency of psychiatric disease, learning difficulties, and other problems of psychosocial development. These comorbidities can stem in part from the same genetic traits that determine seizure susceptibility. Thus, mutations affecting potassium, calcium, and sodium channels have been linked with epilepsy syndromes and affective and behavioral abnormalities. It is important to consider the effect of antiepilepsy drugs on comorbid conditions and the effect on seizures of drugs used to treat comorbidities. A number of antiepilepsy drugs are available that have minimal adverse cognitive effects, and some can have positive effects on mood and behavior. Epilepsy in a child is a condition that affects and is affected by the entire family situation. In addition to appropriate neuropsychologic evaluation, optimal management of childhood epilepsy also can require the involvement of the social worker, advanced practice nurse, and educational specialist. Many elements of the multidisciplinary team approach can be instituted by the child neurologist in community practice and at large, specialized epilepsy centers.
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U2 - 10.1177/088307380401900509
DO - 10.1177/088307380401900509
M3 - Article
C2 - 15224709
AN - SCOPUS:3042700205
SN - 0883-0738
VL - 19
SP - 362
EP - 378
JO - Journal of child neurology
JF - Journal of child neurology
IS - 5
ER -