AED is advisable in some first seizures and even without having a seizure
1. first seizure with multiple EEG discharges, brain dysplasia, pt having severe osteoprosis, pt on anticoagulants.
there is no class i or ii evidence for AED (inclusing famouse valporate n CBZ) except in focal seizures that showed class i for oxcarbazepine .
increasing dose of menotherapy might nt b always useful, some times adding VPA to ESX in absence is better. even VPA with lamotrigine for abscence is good.
stiripentol for dravet syndrome
panayiotopoulos synd is nt same as BECOP
seizure count is not like a kick count for pregnant mothers. should go beyound to see the QOL in epileptics
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