Understanding Your Epilepsy Treatment Options

A Comprehensive Guide to Modern Epilepsy Management

Neurology

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Last updated: Mar 24, 2025

Introduction

Epilepsy management has evolved significantly, offering multiple treatment approaches tailored to individual needs.

Medication Options (Anti-Epileptic Drugs)

First-Line Medications

  • Levetiracetam (Keppra®)
  • Lamotrigine (Lamictal®)
  • Carbamazepine (Tegretol®)

Second-Line Options

  • Valproic acid (Depakene®)
  • Topiramate (Topamax®)
  • Zonisamide (Zonegran®)

Surgical Interventions

Resective Surgery

  • Temporal lobectomy
  • Focal cortical resection
  • Lesionectomy

Neurostimulation Devices

  • Vagus Nerve Stimulation (VNS)
  • Responsive Neurostimulation (RNS)
  • Deep Brain Stimulation (DBS)

Lifestyle Management

Daily Practices

  • Regular sleep schedule
  • Stress reduction techniques
  • Trigger avoidance
  • Medication compliance

Dietary Approaches

  • Ketogenic diet
  • Modified Atkins diet
  • Low glycemic index treatment

Emergency Management

  • Rescue medications
  • Seizure action plan
  • Emergency contact information

Follow-up Care

  • Regular neurologist visits
  • Medication level monitoring
  • Side effect management
  • Quality of life assessments

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