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| content:self_limited_epilepsy_with_centrotemporal_spikes_selects [2024/03/23 19:39] – [Treatment] biju.hameed@gmail.com | content:self_limited_epilepsy_with_centrotemporal_spikes_selects [2024/03/23 19:44] (current) – [Treatment] biju.hameed@gmail.com | ||
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| ==== Treatment ==== | ==== Treatment ==== | ||
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| * As the seizures associated with SeLECTS often stop around the age of puberty, it is not clear whether it is necessary to prescribe ASMs to all children who present with this condition. | * As the seizures associated with SeLECTS often stop around the age of puberty, it is not clear whether it is necessary to prescribe ASMs to all children who present with this condition. | ||
| * When considering the use of antiseizure medications for SeLECTS, it is important to have a thorough discussion with the individual, their family, and caregivers (if applicable). This discussion should focus on developing a personalized medication strategy based on the specific epilepsy syndrome, treatment objectives, and the preferences of the individual and their family or caregivers. | * When considering the use of antiseizure medications for SeLECTS, it is important to have a thorough discussion with the individual, their family, and caregivers (if applicable). This discussion should focus on developing a personalized medication strategy based on the specific epilepsy syndrome, treatment objectives, and the preferences of the individual and their family or caregivers. | ||
| - | * lamotrigine and levetiracetam should be considered as first-line treatment[(: | + | * lamotrigine and levetiracetam should be considered as first-line treatment[(: |
| * As second-line treatment, carbamazepine, | * As second-line treatment, carbamazepine, | ||
| - | * school performance is a good indicator of cognition since it measures processing and retention.If any deterioration is noted, an EEG should be performed to exclude | + | * school performance is a good indicator of cognition since it measures processing and retention.If any deterioration is noted, an EEG should be performed to exclude |
| ==== References ==== | ==== References ==== | ||