Page 131 - ILAE_Lectures_2015

Table 3. Tree diagram of the treatment of TA according to syndrome-relate

TA associated with other
seizure types

With MJ Wit

Monotherapy VPA VPA

Persistence or SE Remission

Combined VPA+CLN VPA+L
therapy VPA+ESM VPA+C
LTG+CLN* +LEV?
+LEV? +TPM?

Persistence Taper to effective minimal dose
(monotherapy), and under EEG
monitoring, mainly in children