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Review

Clinical Management of Drug Resistant Epilepsy: A Review on Current Strategies

& ORCID Icon
Pages 2229-2242 | Published online: 12 Jul 2021

References

  • Kwan P, Arzimanoglou A, Berg AT, et al. Definition of drug resistant epilepsy: consensus proposal by the ad hoc Task Force of the ILAE commission on therapeutic strategies: definition of drug resistant epilepsy. Epilepsia. 2009;51(6):1069–1077. doi:10.1111/j.1528-1167.2009.02397.x19889013
  • Brodie MJ, Barry SJE, Bamagous GA, Norrie JD, Kwan P. Patterns of treatment response in newly diagnosed epilepsy. Neurology. 2012;78(20):1548–1554. doi:10.1212/WNL.0b013e3182563b1922573629
  • Kwan P, Brodie MJ. Early identification of refractory epilepsy. N Engl J Med. 2000;342(5):314–319. doi:10.1056/NEJM20000203342050310660394
  • Schiller Y, Najjar Y. Quantifying the response to antiepileptic drugs: effect of past treatment history. Neurology. 2008;70(1):54–65. doi:10.1212/01.wnl.0000286959.22040.6e18166707
  • Chen Z, Brodie MJ, Liew D, Kwan P. Treatment outcomes in patients with newly diagnosed epilepsy treated with established and new antiepileptic drugs: a 30-year longitudinal cohort study. JAMA Neurol. 2018;75(3):279. doi:10.1001/jamaneurol.2017.394929279892
  • Callaghan BC, Anand K, Hesdorffer D, Hauser WA, French JA. Likelihood of seizure remission in an adult population with refractory epilepsy. Ann Neurol. 2007;62(4):382–389. doi:10.1002/ana.2116617880009
  • Luciano AL, Shorvon SD. Results of treatment changes in patients with apparently drug-resistant chronic epilepsy. Ann Neurol. 2007;62(4):375–381. doi:10.1002/ana.2106417253624
  • Callaghan B, Schlesinger M, Rodemer W, et al. Remission and relapse in a drug-resistant epilepsy population followed prospectively: drug-resistant epilepsy population. Epilepsia. 2011;52(3):619–626. doi:10.1111/j.1528-1167.2010.02929.x21269287
  • Ryvlin P, Cucherat M, Rheims S. Risk of sudden unexpected death in epilepsy in patients given adjunctive antiepileptic treatment for refractory seizures: a meta-analysis of placebo-controlled randomised trials. Lancet Neurol. 2011;10(11):961–968. doi:10.1016/S1474-4422(11)70193-421937278
  • Choi H, Hayat MJ, Zhang R, et al. Drug-resistant epilepsy in adults: outcome trajectories after failure of two medications. Epilepsia. 2016;57(7):1152–1160. doi:10.1111/epi.1340627265407
  • Zaccara G, Mula M, Ferrò B, et al. Do neurologists agree in diagnosing drug resistance in adults with focal epilepsy? Epilepsia. 2019;60(1):175–183. doi:10.1111/epi.1462230585315
  • O’ Rourke G, O’ Brien JJ. Identifying the barriers to antiepileptic drug adherence among adults with epilepsy. Seizure. 2017;45:160–168. doi:10.1016/j.seizure.2016.12.00628063375
  • Anzellotti F, Dono F, Evangelista G, et al. Psychogenic non-epileptic seizures and pseudo-refractory epilepsy, a management challenge. Front Neurol. 2020;11:461. doi:10.3389/fneur.2020.0046132582005
  • Thomas P, Valton L, Genton P. Absence and myoclonic status epilepticus precipitated by antiepileptic drugs in idiopathic generalized epilepsy. Brain. 2006;129(5):1281–1292. doi:10.1093/brain/awl04716513683
  • Boylan LS, Labovitz DL, Jackson SC, Starner K, Devinsky O. Auras are frequent in idiopathic generalized epilepsy. Neurology. 2006;67(2):343–345. doi:10.1212/01.wnl.0000225185.37081.9716864837
  • Lombroso CT. Consistent EEG focalities detected in subjects with primary generalized epilepsies monitored for two decades. Epilepsia. 1997;38(7):797–812. doi:10.1111/j.1528-1157.1997.tb01467.x9579907
  • Kellinghaus C, Lüders HO. Frontal lobe epilepsy. Epileptic Disord. 2004;6(4):223–239.15634619
  • Kalilani L, Sun X, Pelgrims B, Noack-Rink M, Villanueva V. The epidemiology of drug-resistant epilepsy: a systematic review and meta-analysis. Epilepsia. 2018;59(12):2179–2193. doi:10.1111/epi.1459630426482
  • Marson A, Jacoby A, Johnson A, et al. Immediate versus deferred antiepileptic drug treatment for early epilepsy and single seizures: a randomised controlled trial. Lancet. 2005;365(9476):2007–2013. doi:10.1016/S0140-6736(05)66694-915950714
  • An S, Malhotra K, Dilley C, et al. Predicting drug-resistant epilepsy — a machine learning approach based on administrative claims data. Epilepsy Behavior. 2018;89:118–125. doi:10.1016/j.yebeh.2018.10.01330412924
  • Mohanraj R, Brodie MJ. Outcomes of newly diagnosed idiopathic generalized epilepsy syndromes in a non-pediatric setting. Acta Neurol Scand. 2007;115(3):204–208. doi:10.1111/j.1600-0404.2006.00791.x17295717
  • Szaflarski JP, Lindsell CJ, Zakaria T, Banks C, Privitera MD. Seizure control in patients with idiopathic generalized epilepsies: EEG determinants of medication response. Epilepsy Behavior. 2010;17(4):525–530. doi:10.1016/j.yebeh.2010.02.00520227351
  • Holtkamp M, Kowski AB, Merkle H, Janz D. Long-term outcome in epilepsy with grand mal on awakening: forty years of follow-up. Ann Neurol. 2014;75(2):298–302. doi:10.1002/ana.2410324395517
  • Senf P, Schmitz B, Holtkamp M, Janz D. Prognosis of juvenile myoclonic epilepsy 45 years after onset: seizure outcome and predictors. Neurology. 2013;81(24):2128–2133. doi:10.1212/01.wnl.0000437303.36064.f824212391
  • Gomez-Ibañez A, McLachlan RS, Mirsattari SM, Diosy DC, Burneo JG. Prognostic factors in patients with refractory idiopathic generalized epilepsy. Epilepsy Res. 2017;130:69–73. doi:10.1016/j.eplepsyres.2017.01.01128157601
  • Gesche J, Khanevski M, Solberg C, Beier CP. Resistance to valproic acid as predictor of treatment resistance in genetic generalized epilepsies. Epilepsia. 2017;58(4):e64–e69. doi:10.1111/epi.1370228230254
  • Catarino CB, Liu JYW, Liagkouras I, et al. Dravet syndrome as epileptic encephalopathy: evidence from long-term course and neuropathology. Brain. 2011;134(10):2982–3010. doi:10.1093/brain/awr12921719429
  • Genton P, Velizarova R, Dravet C. Dravet syndrome: the long-term outcome: long-term outcome. Epilepsia. 2011;52:44–49. doi:10.1111/j.1528-1167.2011.03001.x21463279
  • Singh R, Scheffer IE, Crossland K, Berkovic SF. Generalized epilepsy with febrile seizures plus: a common childhood-onset genetic epilepsy syndrome. Ann Neurol. 1999;45(1):75–81. doi:10.1002/1531-8249(199901)45:1<75::aid-art13>3.0.co;2-w9894880
  • Margari L, Legrottaglie AR, Vincenti A, et al. Association between SCN1A gene polymorphisms and drug resistant epilepsy in pediatric patients. Seizure. 2018;55:30–35. doi:10.1016/j.seizure.2018.01.00229353705
  • Roy PL, Ronquillo LH, Ladino LD, Tellez-Zenteno JF. Risk factors associated with drug resistant focal epilepsy in adults: a case control study. Seizure. 2019;73:46–50. doi:10.1016/j.seizure.2019.10.02031734466
  • Semah F, Picot M-C, Adam C, et al. Is the underlying cause of epilepsy a major prognostic factor for recurrence? Neurology. 1998;51(5):1256–1262. doi:10.1212/WNL.51.5.12569818842
  • Perucca E, French J, Bialer M. Development of new antiepileptic drugs: challenges, incentives, and recent advances. Lancet Neurol. 2007;6(9):793–804. doi:10.1016/S1474-4422(07)70215-617706563
  • Beghi E, Gatti G, Tonini C, et al. Adjunctive therapy versus alternative monotherapy in patients with partial epilepsy failing on a single drug: a multicentre, randomised, pragmatic controlled trial. Epilepsy Res. 2003;57(1):1–13. doi:10.1016/j.eplepsyres.2003.09.00714706729
  • Millul A, Iudice A, Adami M, et al. Alternative monotherapy or add-on therapy in patients with epilepsy whose seizures do not respond to the first monotherapy: an Italian multicenter prospective observational study. Epilepsy Behav. 2013;28(3):494–500. doi:10.1016/j.yebeh.2013.05.03823892580
  • Brodie MJ, Yuen AWC. Lamotrigine substitution study: evidence for synergism with sodium valproate? Epilepsy Res. 1997;26(3):423–432. doi:10.1016/S0920-1211(96)01007-89127723
  • Chiron C, Marchand M, Tran A, et al. Stiripentol in severe myoclonic epilepsy in infancy: a randomised placebo-controlled syndrome-dedicated trial. Lancet. 2000;356(9242):1638–1642. doi:10.1016/S0140-6736(00)03157-311089822
  • Devinsky O, Cross JH, Laux L, et al. Trial of cannabidiol for drug-resistant seizures in the Dravet syndrome. N Engl J Med. 2017;376(21):2011–2020. doi:10.1056/NEJMoa161161828538134
  • Perucca P, Gilliam FG. Adverse effects of antiepileptic drugs. Lancet Neurol. 2012;11(9):792–802. doi:10.1016/S1474-4422(12)70153-922832500
  • Gilliam FG, Fessler AJ, Baker G, Vahle V, Carter J, Attarian H. Systematic screening allows reduction of adverse antiepileptic drug effects: a randomized trial. Neurology. 2004;62(1):23–27. doi:10.1212/WNL.62.1.2314718691
  • Perucca P, Carter J, Vahle V, Gilliam FG. Adverse antiepileptic drug effects: toward a clinically and neurobiologically relevant taxonomy. Neurology. 2009;72(14):1223–1229. doi:10.1212/01.wnl.0000345667.45642.6119349601
  • Perucca E, Gram L, Avanzini G, Dulac O. Antiepileptic drugs as a cause of worsening seizures. Epilepsia. 1998;39(1):5–17. doi:10.1111/j.1528-1157.1998.tb01268.x9578007
  • Rheims S, Ryvlin P. Pharmacotherapy for tonic–clonic seizures. Expert Opin Pharmacother. 2014;15(10):1417–1426. doi:10.1517/14656566.2014.91502924798217
  • Rheims S, Perucca E, Cucherat M, Ryvlin P. Factors determining response to antiepileptic drugs in randomized controlled trials. A systematic review and meta-analysis: response to AEDs in Randomized Trials. Epilepsia. 2011. doi:10.1111/j.1528-1167.2010.02915.x
  • Thieffry S, Klein P, Baulac M, et al. Understanding the challenge of comparative effectiveness research in focal epilepsy: a review of network meta‐analyses and real‐world evidence on antiepileptic drugs. Epilepsia. 2020;61(4):595–609. doi:10.1111/epi.1647632201951
  • Rheims S, Cucherat M, Arzimanoglou A, Ryvlin P. Greater response to placebo in children than in adults: a systematic review and meta-analysis in drug-resistant partial epilepsy. PLoS Med. 2008;5(8):e166. doi:10.1371/journal.pmed.005016618700812
  • Gazzola DM, Balcer LJ, French JA. Seizure-free outcome in randomized add-on trials of the new antiepileptic drugs. Epilepsia. 2007;48(7):1303–1307. doi:10.1111/j.1528-1167.2007.01136.x17521343
  • Krauss GL, Klein P, Brandt C, et al. Safety and efficacy of adjunctive cenobamate (YKP3089) in patients with uncontrolled focal seizures: a multicentre, double-blind, randomised, placebo-controlled, dose-response trial. Lancet Neurol. 2020;19(1):38–48. doi:10.1016/S1474-4422(19)30399-031734103
  • Hemery C, Ryvlin P, Rheims S. Prevention of generalized tonic-clonic seizures in refractory focal epilepsy: a meta-analysis. Epilepsia. 2014;55(11):1789–1799. doi:10.1111/epi.1276525182978
  • Arzimanoglou A, French J, Blume WT, et al. Lennox-Gastaut syndrome: a consensus approach on diagnosis, assessment, management, and trial methodology. Lancet Neurol. 2009;8(1):82–93. doi:10.1016/S1474-4422(08)70292-819081517
  • Guery D, Rheims S. Is the mechanism of action of antiseizure drugs a key element in the choice of treatment? Fundam Clin Pharmacol. 2020;fcp.12614. doi:10.1111/fcp.12614
  • Trinka E, Brigo F. Antiepileptogenesis in humans: disappointing clinical evidence and ways to move forward. Curr Opin Neurol. 2014;27(2):227–235. doi:10.1097/WCO.000000000000006724556736
  • Perucca P, Perucca E. Identifying mutations in epilepsy genes: impact on treatment selection. Epilepsy Res. 2019;152:18–30. doi:10.1016/j.eplepsyres.2019.03.00130870728
  • French JA, Lawson JA, Yapici Z, et al. Adjunctive everolimus therapy for treatment-resistant focal-onset seizures associated with tuberous sclerosis (EXIST-3): a Phase 3, randomised, double-blind, placebo-controlled study. Lancet. 2016;388(10056):2153–2163. doi:10.1016/S0140-6736(16)31419-227613521
  • Mirzaa GM, Campbell CD, Solovieff N, et al. Association of MTOR mutations with developmental brain disorders, including megalencephaly, focal cortical dysplasia, and pigmentary mosaicism. JAMA Neurol. 2016;73(7):836. doi:10.1001/jamaneurol.2016.036327159400
  • Baldassari S, Ribierre T, Marsan E, et al. Dissecting the genetic basis of focal cortical dysplasia: a large cohort study. Acta Neuropathol. 2019;138(6):885–900. doi:10.1007/s00401-019-02061-531444548
  • Griffith JL, Wong M. The mTOR pathway in treatment of epilepsy: a clinical update. Future Neurol. 2018;13(2):49–58. doi:10.2217/fnl-2018-000130505235
  • Guerrini R, Duchowny M, Jayakar P, et al. Diagnostic methods and treatment options for focal cortical dysplasia. Epilepsia. 2015;56(11):1669–1686. doi:10.1111/epi.1320026434565
  • Klepper J, Akman C, Armeno M, et al. Glut1 Deficiency Syndrome (Glut1DS): state of the art in 2020 and recommendations of the international Glut1DS study group. Epilepsia Open. 2020;5(3):354–365. doi:10.1002/epi4.1241432913944
  • Lagae L, Sullivan J, Knupp K, et al. Fenfluramine hydrochloride for the treatment of seizures in Dravet syndrome: a randomised, double-blind, placebo-controlled trial. Lancet. 2019;394(10216):2243–2254. doi:10.1016/S0140-6736(19)32500-031862249
  • Hatini PG, Commons KG. Serotonin abnormalities in Dravet syndrome mice before and after the age of seizure onset. Brain Res. 2019;1724:146399. doi:10.1016/j.brainres.2019.14639931445030
  • Griffin AL, Jaishankar P, Grandjean J-M, Olson SH, Renslo AR, Baraban SC. Zebrafish studies identify serotonin receptors mediating antiepileptic activity in Dravet syndrome. Brain Commun. 2019;1(1):fcz008. doi:10.1093/braincomms/fcz00831667472
  • Griffin A, Hamling KR, Knupp K, Hong S, Lee LP, Baraban SC. Clemizole and modulators of serotonin signalling suppress seizures in Dravet syndrome. Brain. 2017;aww342. doi:10.1093/brain/aww342
  • Pierson TM, Yuan H, Marsh ED, et al. GRIN2A mutation and early‐onset epileptic encephalopathy: personalized therapy with memantine. Ann Clin Transl Neurol. 2014;1(3):190–198. doi:10.1002/acn3.3924839611
  • Ihara Y, Tomonoh Y, Deshimaru M, et al. Retigabine, a Kv7.2/Kv7.3-channel opener, attenuates drug-induced seizures in knock-in mice harboring Kcnq2 Mutations. PLoS One. 2016;11(2):e0150095. doi:10.1371/journal.pone.015009526910900
  • Löscher W, Potschka H. Drug resistance in brain diseases and the role of drug efflux transporters. Nat Rev Neurosci. 2005;6(8):591–602. doi:10.1038/nrn172816025095
  • Leandro K, Bicker J, Alves G, Falcão A, Fortuna A. ABC transporters in drug-resistant epilepsy: mechanisms of upregulation and therapeutic approaches. Pharmacol Res. 2019;144:357–376. doi:10.1016/j.phrs.2019.04.03131051235
  • Asadi-Pooya AA, Razavizadegan SMA, Abdi-Ardekani A, Sperling MR. Adjunctive use of verapamil in patients with refractory temporal lobe epilepsy: a pilot study. Epilepsy Behavior. 2013;29(1):150–154. doi:10.1016/j.yebeh.2013.07.00623973639
  • Hesdorffer DC, Stables JP, Hauser WA, Annegers JF, Cascino G. Are certain diuretics also anticonvulsants? Ann Neurol. 2001;50(4):458–462. doi:10.1002/ana.113611601497
  • Ben-Ari Y, Gaiarsa J-L, Tyzio R, Khazipov R. GABA: a pioneer transmitter that excites immature neurons and generates primitive oscillations. Physiol Rev. 2007;87(4):1215–1284. doi:10.1152/physrev.00017.200617928584
  • Khalilov I, Holmes GL, Ben-Ari Y. In vitro formation of a secondary epileptogenic mirror focus by interhippocampal propagation of seizures. Nat Neurosci. 2003;6(10):1079–1085. doi:10.1038/nn112514502289
  • Cohen I. On the origin of interictal activity in human temporal lobe epilepsy in vitro. Science. 2002;298(5597):1418–1421. doi:10.1126/science.107651012434059
  • Dzhala VI, Talos DM, Sdrulla DA, et al. NKCC1 transporter facilitates seizures in the developing brain. Nat Med. 2005;11(11):1205–1213. doi:10.1038/nm130116227993
  • Pressler RM, Boylan GB, Marlow N, et al. Bumetanide for neonatal seizures-back from the cotside. Nat Rev Neurol. 2015;11(12):724. doi:10.1038/nrneurol.2015.11626526530
  • Hampel P, Römermann K, Gramer M, Löscher W. The search for brain-permeant NKCC1 inhibitors for the treatment of seizures: pharmacokinetic-pharmacodynamic modelling of NKCC1 inhibition by azosemide, torasemide, and bumetanide in mouse brain. Epilepsy Behav. 2021;114(PtA):107616. doi:10.1016/j.yebeh.2020.10761633279441
  • Vezzani A, French J, Bartfai T, Baram TZ. The role of inflammation in epilepsy. Nat Rev Neurol. 2011;7(1):31–40. doi:10.1038/nrneurol.2010.17821135885
  • Ravizza T, Lucas S-M, Balosso S, et al. Inactivation of caspase-1 in rodent brain: a novel anticonvulsive strategy. Epilepsia. 2006;47(7):1160–1168. doi:10.1111/j.1528-1167.2006.00590.x16886979
  • Bialer M, Johannessen SI, Levy RH, Perucca E, Tomson T, White HS. Progress report on new antiepileptic drugs: a summary of the Eleventh Eilat Conference (EILAT XI). Epilepsy Res. 2013;103(1):2–30. doi:10.1016/j.eplepsyres.2012.10.00123219031
  • Vogrig A, Joubert B, André-Obadia N, Gigli GL, Rheims S, Honnorat J. Seizure specificities in patients with antibody-mediated autoimmune encephalitis. Epilepsia. 2019;60(8):1508–1525. doi:10.1111/epi.1628231283859
  • Hirsch LJ, Gaspard N, van Baalen A, et al. Proposed consensus definitions for new-onset refractory status epilepticus (NORSE), febrile infection-related epilepsy syndrome (FIRES), and related conditions. Epilepsia. 2018;59(4):739–744. doi:10.1111/epi.1401629399791
  • Rheims S, Auvin S. Attention deficit/hyperactivity disorder and epilepsy. Curr Opin Neurol. 2021;34(2):219–225. doi:10.1097/WCO.000000000000090333464761
  • Sherman EMS, Slick DJ, Connolly MB, Eyrl KL. ADHD, Neurological correlates and health-related quality of life in severe pediatric epilepsy. Epilepsia. 2007;48(6):1083–1091. doi:10.1111/j.1528-1167.2007.01028.x17381442
  • Perucca E. Clinical pharmacokinetics of new-generation antiepileptic drugs at the extremes of age. Clin Pharmacokinet. 2006;45(4):351–363. doi:10.2165/00003088-200645040-0000216584283
  • Sirven JI, Fife TD, Wingerchuk DM, Drazkowski JF. Second-generation antiepileptic drugs’ impact on balance: a meta-analysis. Mayo Clin Proc. 2007;82(1):40–47. doi:10.4065/82.1.4017285784
  • Finkle WD, Der JS, Greenland S, et al. Risk of fractures requiring hospitalization after an initial prescription for zolpidem, alprazolam, lorazepam, or diazepam in older adults. J Am Geriatr Soc. 2011;59(10):1883–1890. doi:10.1111/j.1532-5415.2011.03591.x22091502
  • Tomson T, Battino D, Bromley R, et al. Management of epilepsy in pregnancy: a report from the International league against epilepsy task force on women and pregnancy. Epileptic Disord. 2019;21(6):497–517. doi:10.1684/epd.2019.110531782407
  • Keni RR, Jose M, Sarma PS, Thomas SV. For the Kerala Registry of Epilepsy and Pregnancy Study Group. Teratogenicity of antiepileptic dual therapy: dose-dependent, drug-specific, or both? Neurology. 2018;90(9):e790–e796. doi:10.1212/WNL.000000000000503129429975
  • Kanner AM. Management of psychiatric and neurological comorbidities in epilepsy. Nat Rev Neurol. 2016;12(2):106–116. doi:10.1038/nrneurol.2015.24326782334
  • Chen Z, Lusicic A, O’Brien TJ, Velakoulis D, Adams SJ, Kwan P. Psychotic disorders induced by antiepileptic drugs in people with epilepsy. Brain. 2016;139(10):2668–2678. doi:10.1093/brain/aww19627503872
  • Mula M. The pharmacological management of psychiatric comorbidities in patients with epilepsy. Pharmacol Res. 2016;107:147–153. doi:10.1016/j.phrs.2016.03.02227001226
  • Verrotti A, Tambucci R, Di Francesco L, et al. The role of polytherapy in the management of epilepsy: suggestions for rational antiepileptic drug selection. Expert Rev Neurother. 2020;20(2):167–173. doi:10.1080/14737175.2020.170766831855066
  • Stephen LJ, Forsyth M, Kelly K, Brodie MJ. Antiepileptic drug combinations—Have newer agents altered clinical outcomes? Epilepsy Res. 2012;98(2–3):194–198. doi:10.1016/j.eplepsyres.2011.09.00821982026
  • Jonker DM, Voskuyl RA, Danhof M. Synergistic Combinations of Anticonvulsant Agents: what Is the Evidence from Animal Experiments? Epilepsia. 2007;48(3):412–434. doi:10.1111/j.1528-1167.2006.00952.x17346245
  • Stafstrom CE. Mechanisms of action of antiepileptic drugs: the search for synergy. Curr Opin Neurol. 2010;23(2):157–163. doi:10.1097/WCO.0b013e32833735b520125013
  • Poolos NP, Warner LN, Humphreys SZ, Williams S. Comparative efficacy of combination drug therapy in refractory epilepsy. Neurology. 2012;78(1):62–68. doi:10.1212/WNL.0b013e31823ed0dd22170887
  • Sake J-K, Hebert D, Isojärvi J, et al. A pooled analysis of lacosamide clinical trial data grouped by mechanism of action of concomitant antiepileptic drugs. CNS Drugs. 2010;24(12):1055–1068. doi:10.2165/11587550-000000000-0000021090839
  • Besag FMC, Berry DJ, Pool F, Newbery -J-JE, Subel B. Carbamazepine Toxicity with Lamotrigine: pharmacokinetic or Pharmacodynamic Interaction? Epilepsia. 1998;39(2):183–187. doi:10.1111/j.1528-1157.1998.tb01356.x9577998
  • Engel J, Wiebe S, French J, et al. Practice parameter: temporal lobe and localized neocortical resections for epilepsy: report of the Quality Standards Subcommittee of the American Academy of Neurology, in Association with the American Epilepsy Society and the American Association of Neurological Surgeons. Neurology. 2003;60(4):538–547. doi:10.1212/01.WNL.0000055086.35806.2D12601090
  • Haneef Z, Stern J, Dewar S, Engel J. Referral pattern for epilepsy surgery after evidence-based recommendations: a retrospective study. Neurology. 2010;75(8):699–704. doi:10.1212/WNL.0b013e3181eee45720733145
  • Ryvlin P, Cross JH, Rheims S. Epilepsy surgery in children and adults. Lancet Neurol. 2014;13(11):1114–1126. doi:10.1016/S1474-4422(14)70156-525316018
  • Wiebe S, Blume WT, Girvin JP, Eliasziw M. A randomized, controlled trial of surgery for temporal-lobe epilepsy. N Engl J Med. 2001;345(5):311–318. doi:10.1056/NEJM20010802345050111484687
  • Engel J. Early surgical therapy for drug-resistant temporal lobe epilepsy: a randomized trial. JAMA. 2012;307(9):922. doi:10.1001/jama.2012.22022396514
  • Dwivedi R, Ramanujam B, Chandra PS, et al. Surgery for drug-resistant epilepsy in children. N Engl J Med. 2017;377(17):1639–1647. doi:10.1056/NEJMoa161533529069568
  • Wyllie E, Lachhwani DK, Gupta A, et al. Successful surgery for epilepsy due to early brain lesions despite generalized EEG findings. Neurology. 2007;69(4):389–397. doi:10.1212/01.wnl.0000266386.55715.3f17646632
  • Janecek JK, Swanson SJ, Sabsevitz DS, et al. Language lateralization by fMRI and Wada testing in 229 patients with epilepsy: rates and predictors of discordance. Epilepsia. 2013;54(2):314–322. doi:10.1111/epi.1206823294162
  • Thijs RD, Surges R, O’Brien TJ, Sander JW. Epilepsy in adults. Lancet. 2019;393(10172):689–701. doi:10.1016/S0140-6736(18)32596-030686584
  • Gavvala J, Zafar M, Sinha SR, Kalamangalam G, Schuele S. Stereotactic EEG practices: a survey of United States tertiary referral epilepsy centers. J Clin Neurophysiol. 2020. doi:10.1097/WNP.0000000000000794
  • Ryvlin P, Rheims S. Predicting epilepsy surgery outcome. Curr Opin Neurol. 2016;29(2):182–188. doi:10.1097/WCO.000000000000030626886359
  • Jain P, Smith ML, Speechley K, et al. Seizure freedom improves health‐related quality of life after epilepsy surgery in children. Dev Med Child Neurol. 2020;62(5):600–608. doi:10.1111/dmcn.1439031709524
  • Ramos-Perdigués S, Baillés E, Mané A, et al. A prospective study contrasting the psychiatric outcome in drug-resistant epilepsy between patients who underwent surgery and a control group. Epilepsia. 2016;57(10):1680–1690. doi:10.1111/epi.1349727562413
  • Morrison-Levy N, Go C, Ochi A, et al. Children with autism spectrum disorders and drug-resistant epilepsy can benefit from epilepsy surgery. Epilepsy Behavior. 2018;85:200–204. doi:10.1016/j.yebeh.2018.06.02330032808
  • Lang JD, Grell L, Hagge M, et al. Long-term outcome after epilepsy surgery in older adults. Seizure. 2018;57:56–62. doi:10.1016/j.seizure.2018.02.01229604610
  • Lazow SP, Thadani VM, Gilbert KL, et al. Outcome of frontal lobe epilepsy surgery: outcome of Frontal Lobe Epilepsy Surgery. Epilepsia. 2012;53(10):1746–1755. doi:10.1111/j.1528-1167.2012.03582.x22780836
  • Chassoux F, Landré E, Mellerio C, et al. Type II focal cortical dysplasia: electroclinical phenotype and surgical outcome related to imaging: phenotype and Imaging in TTFCD. Epilepsia. 2012;53(2):349–358. doi:10.1111/j.1528-1167.2011.03363.x22221288
  • Kang JY, Sperling MR. Magnetic resonance imaging-guided laser interstitial thermal therapy for treatment of drug-resistant epilepsy. Neurotherapeutics. 2017;14(1):176–181. doi:10.1007/s13311-016-0498-327905093
  • Shimamoto S, Wu C, Sperling MR. Laser interstitial thermal therapy in drug-resistant epilepsy. Curr Opin Neurol. 2019;32(2):237–245. doi:10.1097/WCO.000000000000066230694919
  • Bourdillon P, Cucherat M, Isnard J, et al. Stereo-electroencephalography-guided radiofrequency thermocoagulation in patients with focal epilepsy: a systematic review and meta-analysis. Epilepsia. 2018;59(12):2296–2304. doi:10.1111/epi.1458430345535
  • Benbadis SR, Geller E, Ryvlin P, et al. Putting it all together: options for intractable epilepsy. Epilepsy Behavior. 2018;88:33–38. doi:10.1016/j.yebeh.2018.05.03030216929
  • Orosz I, McCormick D, Zamponi N, et al. Vagus nerve stimulation for drug-resistant epilepsy: a European long-term study up to 24 months in 347 children. Epilepsia. 2014;55(10):1576–1584. doi:10.1111/epi.1276225231724
  • Ryvlin P, Gilliam FG, Nguyen DK, et al. The long‐term effect of vagus nerve stimulation on quality of life in patients with pharmacoresistant focal epilepsy: the PuLsE (Open Prospective Randomized Long‐term Effectiveness) trial. Epilepsia. 2014;55(6):893–900. doi:10.1111/epi.1261124754318
  • Bouwens van der Vlis TAM, Schijns OEMG, Schaper FLWVJ, et al. Deep brain stimulation of the anterior nucleus of the thalamus for drug-resistant epilepsy. Neurosurg Rev. 2019;42(2):287–296. doi:10.1007/s10143-017-0941-x29306976
  • Salanova V, Witt T, Worth R, et al. Long-term efficacy and safety of thalamic stimulation for drug-resistant partial epilepsy. Neurology. 2015;84(10):1017–1025. doi:10.1212/WNL.000000000000133425663221
  • Velasco AL, Velasco F, Jimenez F, et al. Neuromodulation of the centromedian thalamic nuclei in the treatment of generalized seizures and the improvement of the quality of life in patients with lennox–gastaut syndrome. Epilepsia. 2006;47(7):1203–1212. doi:10.1111/j.1528-1167.2006.00593.x16886984
  • Skarpaas TL, Jarosiewicz B, Morrell MJ. Brain-responsive neurostimulation for epilepsy (RNS® System). Epilepsy Res. 2019;153:68–70. doi:10.1016/j.eplepsyres.2019.02.00330850259
  • Nune G, Arcot Desai S, Razavi B, et al. Treatment of drug-resistant epilepsy in patients with periventricular nodular heterotopia using RNS® System: efficacy and description of chronic electrophysiological recordings. Clin Neurophysiol. 2019;130(8):1196–1207. doi:10.1016/j.clinph.2019.04.70631163364
  • Lambrechts DAJE, de Kinderen RJA, Vles JSH, de Louw AJA, Aldenkamp AP, Majoie HJM. A randomized controlled trial of the ketogenic diet in refractory childhood epilepsy. Acta Neurol Scand. 2017;135(2):231–239. doi:10.1111/ane.1259227027847
  • Martin-McGill KJ, Bresnahan R, Levy RG, Cooper PN. Ketogenic diets for drug-resistant epilepsy. Cochrane Database Systematic Rev. 2020. doi:10.1002/14651858.CD001903.pub5
  • Kverneland M, Taubøll E, Molteberg E, et al. Pharmacokinetic interaction between modified Atkins diet and antiepileptic drugs in adults with drug‐resistant epilepsy. Epilepsia. 2019;60(11):2235–2244. doi:10.1111/epi.1636431602644
  • Gómez-Eguílaz M, Ramón-Trapero JL, Pérez-Martínez L, Blanco JR. The beneficial effect of probiotics as a supplementary treatment in drug-resistant epilepsy: a pilot study. Benef Microbes. 2018;9(6):875–881. doi:10.3920/BM2018.001830198325
  • Leidy NK, Elixhauser A, Vickrey B, Means E, Willian MK. Seizure frequency and the health-related quality of life of adults with epilepsy. Neurology. 1999;53(1):162. doi:10.1212/WNL.53.1.16210408553
  • Jacoby A, Baker GA, Steen N, Potts P, Chadwick DW. The clinical course of epilepsy and its psychosocial correlates: findings from a U.K. Community Study. Epilepsia. 1996;37(2):148–161. doi:10.1111/j.1528-1157.1996.tb00006.x8635425
  • Guekht AB, Mitrokhina TV, Lebedeva AV, et al. Factors influencing on quality of life in people with epilepsy. Seizure. 2007;16(2):128–133. doi:10.1016/j.seizure.2006.10.01117157536
  • Johnson EK, Jones JE, Seidenberg M, Hermann BP. The relative impact of anxiety, depression, and clinical seizure features on health-related quality of life in epilepsy. Epilepsia. 2004;45(5):544–550. doi:10.1111/j.0013-9580.2004.47003.x15101836
  • Cramer J. A systematic review of the behavioral effects of levetiracetam in adults with epilepsy, cognitive disorders, or an anxiety disorder during clinical trials. Epilepsy Behavior. 2003;4(2):124–132. doi:10.1016/S1525-5050(03)00005-212697136
  • Sheikh SR, Thompson N, Frech F, Malhotra M, Jehi L. Quantifying the burden of generalized tonic‐clonic seizures in patients with drug‐resistant epilepsy. Epilepsia. 2020;61(8):1627–1637. doi:10.1111/epi.1660332658343
  • Sherman EMS, Slick DJ, Eyrl KL. Executive dysfunction is a significant predictor of poor quality of life in children with epilepsy. Epilepsia. 2006;47(11):1936–1942. doi:10.1111/j.1528-1167.2006.00816.x17116035
  • Giovagnoli AR, Parente A, Tarallo A, Casazza M, Franceschetti S, Avanzini G. Self-rated and assessed cognitive functions in epilepsy: impact on quality of life. Epilepsy Res. 2014;108(8):1461–1468. doi:10.1016/j.eplepsyres.2014.06.00225060995
  • Sarkis RA, McGinnis S, Rushia SN, Park S, Ansari EE, Willment KC. Growing older with drug-resistant epilepsy: cognitive and psychosocial outcomes. J Neurol. 2018;265(5):1059–1064. doi:10.1007/s00415-018-8805-z29478222
  • Camfield PR, Andrade D, Camfield CS, et al. How can transition to adult care be best orchestrated for adolescents with epilepsy? Epilepsy Behavior. 2019;93:138–147. doi:10.1016/j.yebeh.2018.12.01530642688
  • Tellez-Zenteno JF, Patten SB, Jetté N, Williams J, Wiebe S. Psychiatric comorbidity in epilepsy: a population-based analysis. Epilepsia. 2007. doi:10.1111/j.1528-1167.2007.01222.x
  • Christensen J, Vestergaard M, Mortensen PB, Sidenius P, Agerbo E. Epilepsy and risk of suicide: a population-based case–control study. Lancet Neurol. 2007;6(8):693–698. doi:10.1016/S1474-4422(07)70175-817611160
  • Beyenburg S, Mitchell AJ, Schmidt D, Elger CE, Reuber M. Anxiety in patients with epilepsy: systematic review and suggestions for clinical management. Epilepsy Behavior. 2005;7(2):161–171. doi:10.1016/j.yebeh.2005.05.01416054870
  • Almanza-Sepulveda ML, Smith ML, Widjaja E. Influence of patient, caregiver, and family factors on unmet healthcare needs in children with drug-resistant epilepsy undergoing epilepsy surgery evaluation. Epilepsy Behavior. 2019;99:106502. doi:10.1016/j.yebeh.2019.10650231493734
  • Gilliam FG, Barry JJ, Hermann BP, Meador KJ, Vahle V, Kanner AM. Rapid detection of major depression in epilepsy: a multicentre study. Lancet Neurol. 2006;5(5):399–405. doi:10.1016/S1474-4422(06)70415-X16632310
  • Kanner AM. Most antidepressant drugs are safe for patients with epilepsy at therapeutic doses: a review of the evidence. Epilepsy Behavior. 2016;61:282–286. doi:10.1016/j.yebeh.2016.03.02227236241
  • Conway CR, Udaiyar A, Schachter SC. Neurostimulation for depression in epilepsy. Epilepsy Behavior. 2018;88:25–32. doi:10.1016/j.yebeh.2018.06.00730212725
  • Tang V, Poon WS, Kwan P. Mindfulness-based therapy for drug-resistant epilepsy: an assessor-blinded randomized trial. Neurology. 2015;85(13):1100–1107. doi:10.1212/WNL.000000000000196726333801
  • Wilson S. the Task Force members. In response: indications and expectations for neuropsychological assessment in routine epilepsy care: report of the ILAE Neuropsychology Task Force, Diagnostic Methods Commission, 2013–2017. Epilepsia. 2015;56(8):1316–1317. doi:10.1111/epi.1305526235735