Epilepsy CurrentsPub Date : 2025-06-18DOI: 10.1177/15357597251351210
Danielle A Becker
{"title":"Prepregnancy Education: A Gap in Care for All.","authors":"Danielle A Becker","doi":"10.1177/15357597251351210","DOIUrl":"10.1177/15357597251351210","url":null,"abstract":"","PeriodicalId":11742,"journal":{"name":"Epilepsy Currents","volume":" ","pages":"15357597251351210"},"PeriodicalIF":5.8,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12176800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Epilepsy CurrentsPub Date : 2025-06-16DOI: 10.1177/15357597251351452
Anthony L Fine
{"title":"Deep Brain, Deep Impact: Rethinking Pediatric Epilepsy Treatment With Deep Brain Stimulation of the Centromedian Nucleus.","authors":"Anthony L Fine","doi":"10.1177/15357597251351452","DOIUrl":"10.1177/15357597251351452","url":null,"abstract":"","PeriodicalId":11742,"journal":{"name":"Epilepsy Currents","volume":" ","pages":"15357597251351452"},"PeriodicalIF":5.8,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Epilepsy CurrentsPub Date : 2025-06-16DOI: 10.1177/15357597251350031
D Dilara Ertenu, Jay A Salpekar
{"title":"Treating Neuropsychiatric Conditions in Pediatric Epilepsy: Practical Considerations.","authors":"D Dilara Ertenu, Jay A Salpekar","doi":"10.1177/15357597251350031","DOIUrl":"10.1177/15357597251350031","url":null,"abstract":"<p><p>This review provides a practical, evidence-informed approach to initiating pharmacologic treatment for children and adolescents with epilepsy who present with comorbid neuropsychiatric symptoms including depression, behavioral dyscontrol, and attention-deficit/hyperactivity disorder. The paper addresses how to determine when medication is warranted, outlines considerations for medication selection, and offers general principles for medication initiation and monitoring. Although the discourse is aimed at a pediatric population, the concepts are applicable to other ages as well. The goal is to provide clinicians with a decision-making framework to optimize both neurological and psychiatric outcomes in this complex population.</p>","PeriodicalId":11742,"journal":{"name":"Epilepsy Currents","volume":" ","pages":"15357597251350031"},"PeriodicalIF":5.8,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Epilepsy CurrentsPub Date : 2025-06-16eCollection Date: 2025-07-01DOI: 10.1177/15357597251348961
Nicholas H Varvel
{"title":"Forged Without FIRE: Normal Brain Development in the Absence of Microglia.","authors":"Nicholas H Varvel","doi":"10.1177/15357597251348961","DOIUrl":"10.1177/15357597251348961","url":null,"abstract":"","PeriodicalId":11742,"journal":{"name":"Epilepsy Currents","volume":" ","pages":"296-298"},"PeriodicalIF":5.8,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Epilepsy CurrentsPub Date : 2025-06-16DOI: 10.1177/15357597251351453
Charuta Joshi
{"title":"Developmental Outcome at 36 Months in Tuberous Sclerosis: Are There any Modifiable Predictors?","authors":"Charuta Joshi","doi":"10.1177/15357597251351453","DOIUrl":"10.1177/15357597251351453","url":null,"abstract":"","PeriodicalId":11742,"journal":{"name":"Epilepsy Currents","volume":" ","pages":"15357597251351453"},"PeriodicalIF":5.8,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Epilepsy CurrentsPub Date : 2025-06-16DOI: 10.1177/15357597251323917
Jordan Garris, Megan Abbott, Erika Axeen, Laura Tochen, John M Schreiber
{"title":"Evaluation, Diagnosis, and Treatment of Concomitant Movement Disorders in Genetic Epilepsies.","authors":"Jordan Garris, Megan Abbott, Erika Axeen, Laura Tochen, John M Schreiber","doi":"10.1177/15357597251323917","DOIUrl":"10.1177/15357597251323917","url":null,"abstract":"<p><p>Genetic epilepsies and developmental and epileptic encephalopathies are commonly associated with concomitant movement disorders, which can mimic seizures and/or create additional disability. Appropriate diagnosis is critical to proper management. A broad range of movement disorder phenomenologies occur among patients with genetic epilepsy, including dystonia, chorea, ataxia, myoclonus, stereotypy, tics, and Parkinsonism. For some genes, clear relationships exist between genotype and movement disorder phenotype, while in other situations, the relationship is more complex. Diagnosis of movement disorders involves elements of history, physical examination, video review, and neurophysiology. Assessment of associated impairment, distress, and/or safety concerns is important for considering risks/benefits of treatment. Movement disorders may range from severe and dangerous, requiring pharmacologic or neuromodulatory treatments such as deep brain stimulation, to relatively benign, with only reassurance and continued observation required. Appropriate treatments differ based on phenomenology and etiology, with some genes associated with tailored treatments which can provide dramatic benefit.</p>","PeriodicalId":11742,"journal":{"name":"Epilepsy Currents","volume":" ","pages":"15357597251323917"},"PeriodicalIF":5.8,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Epilepsy CurrentsPub Date : 2025-06-09DOI: 10.1177/15357597251344191
Robert C Stowe, Sarah A Kelley, Sonal Bhatia, John R McLaren, Lekha M Rao, Shital H Patel, Anthony L Fine, Fiona Baumer, Priscilla Duong, Spriha Pavuluri, Virginia B Liu, Donald J Phillips
{"title":"Rebuilding the Tower of Babel: The Current Landscape and Emerging Opportunities in DEE-SWAS.","authors":"Robert C Stowe, Sarah A Kelley, Sonal Bhatia, John R McLaren, Lekha M Rao, Shital H Patel, Anthony L Fine, Fiona Baumer, Priscilla Duong, Spriha Pavuluri, Virginia B Liu, Donald J Phillips","doi":"10.1177/15357597251344191","DOIUrl":"10.1177/15357597251344191","url":null,"abstract":"<p><p>Developmental/epileptic encephalopathy with spike-wave activation in sleep (DEE-SWAS) is newly proposed nomenclature put forth by the International League Against Epilepsy (ILAE) to replace the problematic electrographic and/or clinical phenotypes of electrical status epilepticus of sleep (ESES) and continuous spike-wave in sleep (CSWS). The nomenclature update represents a noble effort to minimize the confusion of how to define and appropriately utilize this alphabet soup of acronyms, thereby aiding in future clinical and research efforts. The name change fails to capture greater challenges within the field, which still plague diagnosis and treatment and stagnates substantive research advancements. Through a directed literature review of DEE-SWAS with emphasis on the new ILAE nomenclature and the RESCUE-ESES trial, we will highlight major persistent quandaries in the field. These include inadequate or insufficient diagnostic biomarkers (ie, the spike wave index), the highly variable clinical manifestations, ranging from dubious associations to profound developmental regression, presumptively caused by spike-wave activation in sleep, and variable and often ineffective treatment paradigms. We will also review the broader diagnostic evaluation of DEE-SWAS. By doing so, we aim to shed light on crucial research and clinical questions that could advance our understanding of diagnosing and treating children with DEE-SWAS, as well as addressing the uncertainty surrounding the neurological effects of sleep-activated epileptiform discharges.</p>","PeriodicalId":11742,"journal":{"name":"Epilepsy Currents","volume":" ","pages":"15357597251344191"},"PeriodicalIF":5.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Epilepsy CurrentsPub Date : 2025-06-09DOI: 10.1177/15357597251342227
Jaideep Kapur, Dave Clarke, Mill Etienne, Camilo Gutierrez, Barbara C Jobst, Emily Johnson, Sucheta Joshi, Elaine T Kiriakopoulos, David M Labiner, Fred A Lado, Alain Lekoubou, Daniel H Lowenstein, Karen Parko, Ellen Riker, Renée A Shellhaas, Joseph I Sirven, Karen Skjei, John M Stern, Timothy E Welty, Adam B Eickmeyer, Shawna L Strickland
{"title":"American Epilepsy Society/International League Against Epilepsy-North America Joint Task Force for Epilepsy Health Care Disparities in the United States.","authors":"Jaideep Kapur, Dave Clarke, Mill Etienne, Camilo Gutierrez, Barbara C Jobst, Emily Johnson, Sucheta Joshi, Elaine T Kiriakopoulos, David M Labiner, Fred A Lado, Alain Lekoubou, Daniel H Lowenstein, Karen Parko, Ellen Riker, Renée A Shellhaas, Joseph I Sirven, Karen Skjei, John M Stern, Timothy E Welty, Adam B Eickmeyer, Shawna L Strickland","doi":"10.1177/15357597251342227","DOIUrl":"10.1177/15357597251342227","url":null,"abstract":"<p><p>Numerous factors including social determinants of health, knowledge gaps, economic challenges, workforce limitations, and health system deficiencies are associated with significant disparities in access to health care services and health outcomes for people with epilepsy (PWE). The American Epilepsy Society (AES) and the International League Against Epilepsy-North America (ILAE-NA) established a joint task force to explore and develop recommendations to address health care disparities experienced by PWE. The task force gathered foundational knowledge through meetings, public and patient organization comments and discussions to develop consensus recommendations. We enumerate the recommendations and discuss the rationale behind them to reduce disparities in epilepsy care through comprehensive research, inclusive clinical practices, robust advocacy, and targeted educational initiatives. While our recommendations are focused on the United States, we acknowledge that similar barriers and limitations exist for PWE globally and that these also need to be addressed within their local domains and with attention to unique factors therewithin.</p>","PeriodicalId":11742,"journal":{"name":"Epilepsy Currents","volume":" ","pages":"15357597251342227"},"PeriodicalIF":5.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Epilepsy CurrentsPub Date : 2025-06-09eCollection Date: 2025-07-01DOI: 10.1177/15357597251336792
Christos Panagiotis Lisgaras, Richard J Staba, Liset M de la Prida
{"title":"How Can Animal Models Advance Research into High Frequency Oscillations: Guidelines for Recording, Detection and Analysis.","authors":"Christos Panagiotis Lisgaras, Richard J Staba, Liset M de la Prida","doi":"10.1177/15357597251336792","DOIUrl":"10.1177/15357597251336792","url":null,"abstract":"<p><p>High frequency oscillations (HFOs) are being incorporated into the presurgical evaluation of patients with epilepsy and also represent a rapidly evolving field in basic epilepsy research. Animal models have been pivotal in uncovering the mechanisms underlying HFOs and their role in epilepsy. In this review, we provide an overview of HFOs recorded in animal models, highlighting their relevance not only to epilepsy but also to neuropsychiatric and Alzheimer's diseases, suggesting a broader role in brain disorders. Then we explore recent advances, including innovative computational methods for the automated detection and analysis of HFOs. Building on this analysis, we propose guidelines for HFO identification and reporting with translational potential from animal models to humans. Finally, we discuss existing knowledge gaps and outline future directions for research in this rapidly evolving field.</p>","PeriodicalId":11742,"journal":{"name":"Epilepsy Currents","volume":" ","pages":"286-293"},"PeriodicalIF":5.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Epilepsy CurrentsPub Date : 2025-06-08eCollection Date: 2025-05-01DOI: 10.1177/15357597251314673
Jacob M Hull, John R Huguenard
{"title":"Rhythmic Quakes Shock the Cortical Focus Theory.","authors":"Jacob M Hull, John R Huguenard","doi":"10.1177/15357597251314673","DOIUrl":"10.1177/15357597251314673","url":null,"abstract":"","PeriodicalId":11742,"journal":{"name":"Epilepsy Currents","volume":" ","pages":"187-189"},"PeriodicalIF":5.8,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}