Be informed about Drug-resistant Epilepsy – Epilepsy learner Video 5

This article is based on a video from Nayi Disha’s ‘‘Parent education series’  on Epilepsy and seizure management. In this video Dr.Nikit Milind Shah talks about the management of drug resistant epilepsy.

Epilepsy and Refractory Seizures

Once the type of epilepsy is identified, effective steps can be taken to control and manage seizures. However, despite medications, some types of epilepsy remain unresponsive, resulting in uncontrolled seizures.

Refractory seizures

When a child’s seizures are not controlled even after being given two appropriately chosen medications at the maximal dosage based on the child’s weight, the seizures are termed refractory.

There is no single best medication, so often a combination of two medications is tried to find an effective regimen. Refractory seizures are rare.

If, despite using a combination of appropriate medications over an adequate length of time, the child still experiences seizures, doctors may recommend alternative treatment modalities including:

• A ketogenic diet
• Surgical interventions

Epilepsy can usually be managed with medications, but in rare cases seizures remain uncontrolled.
Such drug‑resistant or refractory epilepsy requires attention and alternative treatment strategies. Early management can improve seizure control, reduce complications, and enhance the child’s quality of life.

Watch this video to understand

– The definition of this rare form of Epilepsy
– The recommended treatment modalities that can be tried and tested

DISCLAIMER: Please note that this guide is for information purposes only. Please consult a qualified health practitioner for safe management.

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