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Transition issues for children with diffuse cortical malformations, multifocal postnatal lesions, (infectious and

Peter R Camfield1, Nadia Bahi-Buisson, Eugen Trinka

  • 1Department of Pediatrics, Dalhousie University, Halifax, Nova Scotia, Canada; Department of Pediatrics, IWK Health Centre, Halifax, Nova Scotia, Canada.

Epilepsia
|September 12, 2014
PubMed

Insights

Epilepsy in patients often involves serious brain disorders. Transitioning to adult care requires addressing intellectual disability, refractory epilepsy, and other health issues in a multidisciplinary setting.

Area of Science:

  • Neurology
  • Developmental Neuroscience

Background:

  • Epilepsy in patients is frequently associated with diffuse and serious brain disorders.
  • These include genetic malformations, traumatic brain injury, infections like encephalitis and meningitis, and Lennox-Gastaut syndrome.

Purpose of the Study:

  • To highlight the complexities of transitioning epilepsy patients from pediatric to adult care.
  • To emphasize the need for comprehensive management of associated conditions.

Main Methods:

  • Review of clinical considerations for adult epilepsy care.
  • Analysis of challenges in managing patients with diverse neurological and non-neurological comorbidities.

Main Results:

  • Transition to adult care necessitates consideration of intellectual disability, refractory epilepsy, and underlying etiologies.
  • Non-neurologic issues, particularly in genetic epilepsy syndromes, are significant.
  • Dedicated primary/family care and a multidisciplinary approach are crucial.

Conclusions:

  • Adult epilepsy care requires a holistic approach, integrating specialized neurological care with primary/family support.
  • A multidisciplinary setting is optimal for managing complex clinical, decision-making, custody, and supervision needs.

Keywords:
Cortical malformationEnce-phalitisLennox-GastautMeningitisTransitionTraumatic brain injury

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