TREATMENT OF SEIZURES IN PATIENTS WITH LEARNING-DISABILITIES

People with learning disabilities commonly have seizures. Combined ele ctroencephalogram and video investigations improve diagnostic accuracy , while neuroimaging may indicate a role for surgery. When epilepsy is diagnosed, individually tailored care is necessary. Rational antiepil eptic drug use is advocated, with emphasis upon the newer agents due t o their better tolerability and ease of use. Regular clinical review w ill prevent over-medicating. Although an optimistic approach can now b e adopted, future developments require a more solid evidence base toge ther with a rationality to all aspects of care, including drug therapy , carer education, closer collaboration among specialists, and mutual skill awareness of all involved. (C) 1998 Elsevier Science Inc.