HPE HPE 85 – Spring 2017 - Page 51

Practical therapeutics Issue 85 | Spring 2017 psychological reassurance during the admission. Epilepsy Epilepsy is a heterogeneous seizure disorder presenting uniquely different challenges and issues to affected individuals. Anti-epileptic drugs (AEDs) do not cure epilepsy but control the recurrence of further epileptic seizures in up to 70% of cases. 6 Postoperatively, AEDs should be continued wherever possible because abrupt withdrawal poses the risk of rebound seizures and even status epilepticus. When enteral administration is not possible or absorption may be impaired, a number of AEDs are available in parenteral formulations to enable continuation (see Table 1). When an AED is unavailable in parenteral form it is advisable to discuss wit FRWW&wFVbFW&FfPTB6VB&RFFVBFRV6G`WfFV6RWFW&vVVGbWW7@FR&WV&VVBFW7Vǒ6vǒFG&FPTG2&W6VB6VvW2rFvR6GVF2vVW7F&Ɨ6V@TG26B&R6FVVBTBvF'&B6VW&RGRVff67FB6&PFVBF&FǒGFFW&WWF2WfV02FVVFBf&FRW&@7V6&W'FW2FVvFV"W6R2@vFWB77VRG&fVW2VF&WV&W2F&rf"FVF6&FF6GB2'&FBFVvFRGFW"&66&R&VGV6VB'W6pf7VFWfWF&6WF07&V6vǒW6VBf"FR7WFR6G&`6VW&W2'FFvFFrF6W0fvVB'6WFW2vW"FW7VFV6RF6W2rFVvF0&7F6R27W'&VFǒfbƖ6V6RBFPWfFV6RF7W'BB2bf&&PVƗG6Ɩ6WW&V6RFW27W'@FBWfWF&6WF2vVFW&FVB@&'W7B&F֗6VB7GVG27W'&VFǒ&w&W7276W76rG2&VFfRVff67FRvVVBb7FGW2WWF7W26W'FG'Vrw&W26FVFǐvW"FR6VW&RF&W6Bv'&Fp6WFW2"fF6RbW6RWW7G2fR&VVƖ6FVBvF6W6r6VW&W2'WB&RW6VBVPvFWW7FVvG&F6V@&RfFVBb76&R"W6VBvFWG&VR6WFVf26G&ЦF6FVBFRT6gV6fPF6&FW'2B6VB&RfFVBFPVFRFVWF0&6'W&R6vW"FR6VW&PF&W6B26FRVRF&F72F&RFWWF72G'Vw2f&R&VFW&ǐG'Vp&&f&ƗGRf&R&VFW&&WFW0'&f&6WFГG&fVW06&&WPP&V7F6WГG&fVW066֖FPG&fVW0WfWF&6WFГG&fVW0V&&&FG&fVW0VFG&fVW0f&FPG&fVW0'6'F26rBf&&R'WBvW"g&&vVB&VV6Rf&VF0"#RRF6R7&V6R&V6VFVBvV6fW'FrF&V7F&WFSƖ6V6VBWFrW"F2vW"&WFVBFRT'WBf&RF&Vv7V6Ɨ7B'FW'0BFW6VB&RfFVBb76&R6vf6B&6WF0FW&7F667W"&WGvVV6&&VV2Bf&FRvFFPf&W"&RF&GV6R&B@&fVB&VGV7FWfV2bFRGFW"FRV66bF2FW&7F2@gVǒVV6FFVBBf&FRWfV2&PBv2&W7F&VB'F6R7&V6W2@FrF6W2vV7V66&Fগ2VfF&R&RVFfVǒF&p&6VƖRB7V'6WVVBFǒf&FPWfV26FWFV7BFR67W'&V6R@vGVFRbFRFW&7F'WBFPWW&wFV6VB&R67VFVBআrFvRFRFfGVFV@&6( 2F6V6PFR7FbG&VFVBf"FF0&6( 2F6V6R2F֖W&v0FW&FRf&bWfFD&GV7G2BF֖Pv7G2"֖RF6R 憖&F'2$FVG26fRVFW&vR7W&v6FW'fVF27V62FVW'&7FVF''WBvFG&vbD@6WFW2F֖Rv7G26&W7V@6W&W2BFVFǒfF7G&RbW66R&vFGvFFW fVGW&W27V62&WB6gW6FB6Ɩ6ǒ&W6V&RWW&WF0ƖvB7G&RF֖Rv7@vFG&v7G&R26&VVFW67&&VBvFfVGW&W2FB6VFP熖WG2GF62G7&@vVW&Ɨ6VB$27V60&6vƖRfRFVFF6Ɩ6FPW7FWF2vVVBB7@6W&6W2&VƖWfRB&V6&RFvF@FVf"7W&vW'b66WF&RFFPFVBvVVFW&G'VrF֖7G&F0B76&RFR&VFW&F֖Pv7G2&FvFRB'R6&RW6VB&FvFRF6W2&RV6W FW6RF7V&7WFVW2'PBFB&WV&R&RG&VFVBvFFW&FRBvVB&RGf6&RF67VB7V6Ɨ7B&6( 2FV`66FW&rFRW6Rb'RF6P6fW'6&V6VFF2&WGvVV&6( 2G'Vw2B&FvFRfP&VVV&Ɨ6VB"B2'FBF66FW"FW6R&RwVFW2BB&PV6W76'FFW"FRF6R66&FrFFR&W76Rv66VB&R76W76V@Fǒ&R6WFW2F6r2Gf6VB`6gW6"FVƗ&V2&W6VBF6G&7FW&FfRW6V@f֗Fr6VG&ǒ7FrF֖PFv7G27V62WF6&֖FR&6'W&RBG&W&FW7B&PfFVB&V6W6RFW67WFVǐW6W&&FRF"7F2FW&FR2W&W&ǒ7FpF֖RFv7BB7VF&Rf VRvF&6( 2F6V6R76ƗR66&RW6VB266W&FRԅB2Fv7G27V60F6WG&FVvF26VB&PfFVB6&FvF( FR6Ɩ6&7FV2fF&RF֖֗6rB֗FvFrf"FVFF7'WFFFR&WFRG'VrvVV@'&VvB&WB'7W&vW'( Ц7F&7WW&R6УC