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Related Experiment Videos

Is complete seizure control imperative?

Frederick Andermann1

  • 1McGill University, Montreal Neurological Hospital and Institute, 3801 University Street, Montreal, PQ, H3A 2B4, Canada. mida@musica.mcgill.ca

Progress in Brain Research
|July 30, 2002
PubMed
Summary
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Achieving complete epilepsy control is not always possible or necessary. Treatment duration and goals depend on individual factors, patient preferences, and the balance of benefits against risks.

Area of Science:

  • Neurology
  • Epilepsy Research

Background:

  • Complete seizure control is a primary goal in epilepsy management.
  • However, the feasibility and necessity of complete control vary significantly among patients.

Purpose of the Study:

  • To explore the factors influencing the imperative for complete epilepsy control.
  • To discuss the implications of progressive dysfunction and treatment considerations.

Main Methods:

  • Review of clinical scenarios and factors affecting epilepsy management.
  • Analysis of benefits versus risks of treatment interventions.

Main Results:

  • Complete control may not be achievable or essential in all epilepsy types, including focal epilepsies and epileptic encephalopathies.

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  • Progressive neurological dysfunction, cognitive decline, and patient/family preferences are key considerations.
  • The decision for treatment duration requires careful weighing of benefits against side effects and risks.

    • Conclusions:

    • The imperative for complete epilepsy control is contingent on its possibility, lifestyle modifications, epilepsy type, and presence of progressive dysfunction.
    • Individualized treatment strategies are crucial, balancing therapeutic gains with potential adverse effects.