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Related Concept Videos

Epilepsy and Seizures: Overview01:24

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Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
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Antiepileptic Drugs: Glutamate Antagonists01:14

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Glutamate is a fundamental neurotransmitter in the central nervous system, playing a vital role in neuronal communication and various cognitive processes. Glutamate stands as the principal excitatory neurotransmitter in the brain. Its presence is crucial for the communication between neurons, underpinning essential processes such as synaptic transmission, neuronal excitability, and plasticity. These functions are vital for higher-order cognitive processes, including learning and memory. The...
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Seizures: Classification01:13

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Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
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Antiepileptic Drugs: Sodium Channel Blockers01:08

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Antiepileptic drugs are specialized medications that prevent seizures in individuals diagnosed with epilepsy. These drugs primarily function by blocking the movement of sodium ions through channels in the neuronal membrane, inhibiting the repetitive firing of action potentials often associated with seizures.
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Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein01:20

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Antiepileptic drugs, such as levetiracetam (Keppra) and brivaracetam (Briviact), have emerged as crucial tools in managing epilepsy. These medications exert their therapeutic effects by targeting the synaptic vesicle protein SV2A, a transmembrane glycoprotein primarily found in the brain.
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Antiepileptic Drugs: Calcium Channel Blockers01:17

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Calcium channel blockers, a class of antiepileptic drugs, regulate the flow of calcium ions within neurons.
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Stereo-Electro-Encephalo-Graphy SEEG With Robotic Assistance in the Presurgical Evaluation of Medical Refractory Epilepsy: A Technical Note
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Shared decision-making in epilepsy management.

W O Pickrell1, G Elwyn2, P E M Smith3

  • 1Welsh Epilepsy Centre, University Hospital of Wales, Cardiff, UK; Neurology and Molecular Neuroscience, College of Medicine, Swansea University, Swansea, UK.

Epilepsy & Behavior : E&B
|April 12, 2015
PubMed
Summary
This summary is machine-generated.

Shared decision-making empowers patients and clinicians to make collaborative choices in epilepsy care, especially when multiple treatment options exist. This approach enhances decision quality and treatment adherence.

Keywords:
Decision aidsEpilepsyShared decision-making

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Area of Science:

  • Neurology
  • Health Services Research
  • Patient-Centered Care

Background:

  • Growing demand for patient involvement in clinical decisions.
  • Shared decision-making (SDM) offers a structured approach for collaborative decision-making.
  • Epilepsy management frequently involves choices with multiple viable options.

Purpose of the Study:

  • To explore the application and benefits of shared decision-making in epilepsy care.
  • To highlight the role of SDM in situations of clinical equipoise.
  • To introduce the talk model and decision aids as tools for SDM.

Main Methods:

  • Conceptual framework discussion.
  • Literature review on SDM principles and applications.
  • Examples of SDM in epilepsy treatment decisions.

Main Results:

  • SDM is applicable to common epilepsy decisions like medication choice, pregnancy management, and withdrawal.
  • Talk models and decision aids can facilitate SDM in consultations.
  • Limited specific evidence for SDM in epilepsy, but general benefits are recognized.

Conclusions:

  • Shared decision-making is a valuable framework for epilepsy management.
  • Implementing SDM can lead to improved decision quality and treatment concordance.
  • Further research on SDM in epilepsy is warranted to build specific evidence.