Understanding co-morbidities affecting children with epilepsy.

Abstract:

:Co-morbid conditions frequently occur in childhood epilepsy and may significantly affect epilepsy and its treatment. Similarly, epilepsy and antiepileptic drugs (AEDs) may affect these associated conditions. Co-morbidities that have a significant association with childhood epilepsy include attention-deficit/hyperactivity disorder, autism, developmental disabilities, accidental injury, migraine, and depression/anxiety. Understanding the interrelationships among co-morbidities, epilepsy, and their treatments is essential to optimal management of pediatric patients. Treatment should be individualized with consideration for specific co-morbidities and concomitant medications. Key treatment goals are to achieve seizure control and optimal physical and cognitive function using the simplest possible AED regimen. The clinician should consider whether an antiepileptic treatment can be chosen that also ameliorates the co-morbid condition. Newer AEDs, such as lamotrigine, topiramate, gabapentin, oxcarbazepine, and tiagabine, may benefit children with epilepsy and some co-morbid disorders.

journal_name

Neurology

journal_title

Neurology

authors

Pellock JM

doi

10.1212/wnl.62.5_suppl_2.s17

subject

Has Abstract

pub_date

2004-03-09 00:00:00

pages

S17-23

issue

5 Suppl 2

eissn

0028-3878

issn

1526-632X

journal_volume

62

pub_type

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