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Department of Neurology

 

Milestone 9: Epilepsy — Patient Care

 

Specifics about each Level and each Item:  What you do you need to know:
 

Level 2

• Identifies epilepsy phenomenology, and classification of seizures and epilepsies

Classification of Epileptic Seizures

Classification of Epilepsies

(Cleveland and ILAE classifications)

• Diagnoses convulsive status epilepticus

Definition and electro-clincial features of convulsive status epilepticus


Level 3

• Diagnoses and manages common seizure disorders and provides antiepileptic drug treatment
Work up and management of new onset seizure

Electro-clinical features and medical treatment of common primary generalized epilepsies

- CAE

- JAE

- JME

- .....

Electroclinical features and medical treatment of common focal epilepsies

- Temporal

- Frontal

- Occipitoparietal

- Multifocal

Indications, dosage, and adverse effects of commonly used AEDs (older and newer generations of AEDS)

• Diagnoses non-convulsive status epilepticus

Definition and electroclincial features of different types of non-convulsive status epilepticus

• Manages convulsive and non-convulsive status epilepticus

Treatment algorithm of status epilepticus including AEDs and dosages


Level 4 

• Diagnoses uncommon seizure disorders

Uncommon childhood epilepsies and epilepsy syndromes

- West syndrome

- Lennox-Gastaut syndrome

- Ohtahara syndrome

- Early myoclonic encephalopathy

- Landau Kleffner syndrome

-  .....

• Appropriately refers an epilepsy patient for surgical evaluation or other interventional therapies

Definition of medically intractable epilepsy

Basic work up and indications for referral to an epilepsy center


Resources:

• 8 weeks Comprehensive EEG/Epilepsy course

• Neurology emergencies lectures (status epilepticus)

• Weekly epilepsy grand rounds

• Weekly epilepsy journal clubs

• Morning didactics (twice a week) during epilepsy rotation

• Weekly epilepsy case management conference

• Guidelines for management of:

New onset seizures

Established epilepsy

Status epilepticus.

• Clinical rotations:

EMU

EEG lab

Epilepsy clinic

Epilepsy consult and Epilepsy inpatient service

Level 2 Resources:


Level 3 Resources:

 


Level 4 Resources