Epilepsy Management Medical Slides
Generate publication-quality epilepsy management lecture slides in 30 seconds. AI-powered content structured for clinical education.
Generate Epilepsy Management DeckWhy teach Epilepsy Management?
Epilepsy affects approximately 50 million people worldwide, making it one of the most common neurological disorders globally. Despite the availability of over 25 antiseizure medications, one-third of patients have drug-resistant epilepsy. The 2017 ILAE classification system restructured seizure and epilepsy categorization, and teaching epilepsy management requires integration of seizure semiology, EEG interpretation, pharmacotherapy selection, and surgical evaluation pathways.
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Epilepsy Management Presentation FAQ
How should antiseizure medication selection be organized in teaching slides?
Present a matrix of seizure type versus first-line AED: focal onset (levetiracetam, lamotrigine, oxcarbazepine), generalized tonic-clonic (valproate, lamotrigine, levetiracetam), absence (ethosuximide, valproate), and myoclonic (valproate, levetiracetam). Reference the SANAD I and II trials. Highlight drugs that worsen certain seizure types — carbamazepine and phenytoin can exacerbate absence and myoclonic seizures in JME.
What defines drug-resistant epilepsy and how should it be presented?
Use the 2010 ILAE definition: failure of adequate trials of two tolerated, appropriately chosen and used AEDs (monotherapy or combination) to achieve sustained seizure freedom. Emphasize that only 5-10% additional patients become seizure-free with each subsequent AED trial after the second failure. This underscores the importance of early surgical evaluation referral rather than cycling through multiple medications.
How should the presurgical evaluation be covered in epilepsy teaching?
Present the stepwise evaluation: (1) video-EEG monitoring for seizure localization, (2) high-resolution MRI with epilepsy protocol (3T with thin cuts through hippocampi), (3) neuropsychological testing for functional mapping, (4) PET and ictal SPECT for non-lesional cases, (5) invasive EEG (stereo-EEG or subdural grids) when non-invasive data are discordant. Temporal lobectomy achieves seizure freedom in 60-80% of carefully selected candidates.
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