What are the effects of starting antiepileptic drug treatment after a single seizure? |
Trade-off between benefits and harms | Antiepileptic drugs |
What are the effects of monotherapy in partial epilepsy? |
Likely to be beneficial | Carbamazepine* |
Gabapentin* |
Lamotrigine* |
Levetiracetam* |
Phenobarbital* |
Phenytoin* |
Sodium valproate* |
Topiramate* |
What are the effects of additional treatments in persons with drug-resistant partial epilepsy? |
Beneficial | Addition of second-line drugs (allopurinol, eslicarbazepine, gabapentin, lacosamide, lamotrigine, levetiracetam, losigamone, oxcarbazepine, retigabine, tiagabine, topiramate, vigabatrin, or zonisamide) |
What is the risk of relapse in persons in remission when withdrawing antiepileptic drugs? |
Trade-off between benefits and harms | Antiepileptic drug withdrawal for persons with partial or generalized epilepsy in remission |
What are the effects of behavioral and psychological treatments in persons with generalized or partial epilepsy? |
Likely to be beneficial | Educational programs |
Unknown effectiveness | Biofeedback |
Cognitive behavior therapy |
Family counseling |
Relaxation plus behavior modification |
Relaxation therapy |
Yoga |
What are the effects of surgery in persons with drug-resistant temporal lobe epilepsy? |
Likely to be beneficial | Amygdalohippocampectomy* |
Temporal lobectomy* |
Vagus nerve stimulation as adjunctive therapy for drug-resistant partial seizures |
Unknown effectiveness | Lesionectomy |