© 2005 BMJ Publishing Group & Royal College of Paediatrics and Child Health
LEADING ARTICLE
Epilepsy
Management of epilepsy
Correspondence to:
Correspondence to:
Dr T Deonna
Neuropaediatric Unit, Univ. Children’s Hospital, CHUV, CH-1011 Lausanne, Switzerland; tdeonna@hotmail.com
Accepted 29 May 2004
Can quality of care be improved?
Keywords: epilepsy
| The first 150 words of the full text of this article appear below. |
In the past 15 years, 16 reviews on new discoveries in epilepsy and on various aspects of its diagnosis and management, and 273 articles in which the keyword "epilepsy" appears, have been published in Archives of Disease in Childhood. So why another review article on management—are things moving so fast?
One of these articles1 mentioned four areas of advances in epilepsy: (1) diagnostic precision; (2) drug therapy;2 (3) neuroimaging; and (4) "greater awareness of the central importance of patient and family perceptions of the condition with efforts to provide a ‘model of care’".
This last aspect is the most difficult to evaluate and translate into practice, and has received much less attention than discoveries in genetics,3 brain imaging, epilepsy surgery, and electrophysiology, but it can make a large difference in the impact of the disease on the child and his or her family. It is probably the most
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