What are the benefits and risks of starting antiepileptic drug treatment after a single seizure?
Trade-off between benefits and harmsAntiepileptic drugs
What are the effects of monotherapy in newly diagnosed partial epilepsy?
Likely to be beneficialCarbamazepine*
Lamotrigine*
Phenobarbital*
Phenytoin*
Sodium valproate*
Topiramate*
What are the effects of monotherapy in newly diagnosed generalized epilepsy (tonic-clonic type)?
Likely to be beneficialCarbamazepine*
Lamotrigine*
Phenobarbital*
Phenytoin*
Sodium valproate*
Topiramate*
What are the effects of additional treatments in persons with drug-resistant partial epilepsy?
BeneficialAddition of second-line drugs (allopurinol, esclicarbazepine, gabapentin, lamotrigine, levetiracetam, losigamone, oxcarbazepine, retigabine, tiagabine, topiramate, vigabatrin, or zonisamide)
What is the risk of relapse in persons in remission when withdrawing antiepileptic drugs in partial or generalized epilepsy?
Trade-off between benefits and harmsAntiepileptic drug withdrawal
What are the effects of behavioral and psychological treatments in persons with partial or generalized epilepsy?
Likely to be beneficialEducational programs
Unknown effectivenessBiofeedback
Cognitive behavior therapy
Family counseling
Relaxation plus behavioral modification therapy
Relaxation therapy
Yoga
What are the effects of surgery in persons with drug-resistant temporal lobe epilepsy?
Likely to be beneficialAmygdalohippocampectomy*
Temporal lobectomy*
Vagus nerve stimulation as adjunctive therapy for drug-resistant partial seizures
Unknown effectivenessLesionectomy
What are the effects of surgery in persons with drug-resistant generalized epilepsy?
Unknown effectivenessHemispherectomy