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Explorez tous les épisodes du podcast Sharp Waves: ILAE's epilepsy podcast

Plongez dans la liste complète des épisodes de Sharp Waves: ILAE's epilepsy podcast. Chaque épisode est catalogué accompagné de descriptions détaillées, ce qui facilite la recherche et l'exploration de sujets spécifiques. Suivez tous les épisodes de votre podcast préféré et ne manquez aucun contenu pertinent.

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TitreDateDurée
Practice guideline on outcomes after in utero exposure to anti-seizure medications: Dr. Alison Pack28 Oct 202400:23:41

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A recent practice guideline provides updated evidence-based conclusions and recommendations regarding in utero effects of anti-seizure medications and folic acid supplementation on the prevalence of major congenital malformations, adverse perinatal outcomes, and neurodevelopmental outcomes. Dr. Parthvi Ravat interviewed Dr. Alison Pack about the guideline, which was produced by the American Academy of Neurology, American Epilepsy Society, and Society for Maternal-Fetal Medicine.

Review the practice guideline: Teratogenesis, perinatal, and neurodevelopmental outcomes after in utero exposure to antiseizure medication (Neurology, May 2024)

Other studies mentioned in the episode:
Risk of major congenital malformations and exposure to antiseizure medication monotherapy (JAMA Neurology, March 2024)

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Changing the term for "epilepsy" in Malaysia: Why and how? Dr. Chong Tin Tan14 Oct 202400:11:48

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Some historic names for epilepsy have been derogatory and stigmatizing. An older term for “epilepsy” in Malay means “mad pig disease.” Neurologists in Malaysia collaborated to change the word to a medically accurate term. Sharp Waves spoke with Dr. Chong Tin Tan about the origins of the older term and how the new term was introduced.

Resources:
Name of epilepsy: Does it matter? - 2012 - Neurology Asia

Announcement of a new Chinese name for epilepsy - Lau - 2011 - Epilepsia 

Changing name of epilepsy in Korea; cerebroelectric disorder (noi‐jeon‐jeung,뇌전증,腦電症) - Kim - 2014 - Epilepsia

Renaming Korean epilepsy: Where are we? - Epilepsy & Behavior 

Awareness, knowledge and attitude towards epilepsy in Malaysia: A perspective of undergraduates in a private university | African Journal of Neurological Sciences 

Overcoming the stigma of epilepsy in Asia // International League Against Epilepsy 

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Consensus recommendations for epilepsy with eyelid myoclonia (Jeavons syndrome): Dr. Kelsey Smith10 Jun 202400:23:03

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A recent publication outlined areas of consensus on the recommended management, treatment options, and prognosis for epilepsy with eyelid myoclonia, also known as Jeavons syndrome. Dr. Alina Ivaniuk interviewed Dr. Kelsey Smith about the results and how consensus was reached.

They discuss which medications are recommended as first-line treatment, possible non-pharmacologic treatment options, and what is known about the safety of driving in this population. 

The publication appears in Epilepsia:

Smith KM, et al. Management of epilepsy with eyelid myoclonia: Results of an international expert consensus panel. Epilepsia. 2023; 64: 2342–2350. https://doi.org/10.1111/epi.17682



Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Developmental and epileptic encephalopathies: Managing more than seizures - Dr. Scott Demarest27 May 202400:29:15

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Besides seizures, people with developmental and epileptic encephalopathies experience a wide variety of symptoms, including sleep problems, vision problems, and behavioral issues. Dr. Scott Demarest discusses how neurologists may be able to address some of these, improving outcomes and quality of life.

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Seizure action plans as educational tools: Dr. Lucretia Long13 May 202400:21:01

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Seizure action plans can help people with epilepsy manage their seizures and address emergencies. They often are aimed at a subset of people with epilepsy, particularly children. Dr. Lucretia Long discusses how seizure action plans can be used to engage and educate all people with epilepsy, as well as their families and the larger community.

Seizure action plan examples: English, Spanish, Simplified Chinese, Korean, Tagalog, Ukrainian, Vietnamese

Online fillable seizure action plan - English (PDF)

Plan de acción de incautación en línea  - espanol (PDF)

List of published research on seizure action plans

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

The Human Intracerebral EEG Platform and the power of big data: Dr. Philippe Ryvlin29 Apr 202400:26:26

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What is the Human Brain Project and how might it advance epilepsy research? Dr. Maryam Nouri speaks with Dr. Philippe Ryvlin about the project in terms of the Human Intracerebral EEG Platform and how compiling these unique data from around the world could lead to new breakthroughs and understanding of epilepsy.

The Human Intracerebral EEG Platform is an open-source platform designed for collecting, managing, analyzing, and sharing iEEG data at an international level. Its primary mission is to promote the development of large-scale iEEG research projects by facilitating international collaborations in the field.

Links:
Human Brain Project
Human Intracerebral EEG Platform
The Virtual Brain

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Reproductive health counseling in adolescents with epilepsy: Dr. Elizabeth Harrison and Dr. Laura Kirkpatrick15 Apr 202400:21:26

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Counseling of teens and young adults with epilepsy about reproductive issues is not happening often enough. Conversations about pregnancy are almost non existent. Sharp Waves spoke with authors of a recent paper that details these findings and discusses possible solutions.

Read the study: A retrospective textual analysis of sexual and reproductive health counseling for adolescent and young adult people with epilepsy of gestational capacity - Epilepsy & Behavior (epilepsybehavior.com)

Related articles by the same authors:

Sexual and reproductive healthcare for adolescent and young adult women with epilepsy: A qualitative study of pediatric neurologists and epileptologists - Epilepsy & Behavior (epilepsybehavior.com) (2020)

A survey of child neurologists about reproductive healthcare for adolescent women with epilepsy - Epilepsy & Behavior (epilepsybehavior.com) (2021)

Sexual and reproductive health concerns of women with epilepsy beginning in adolescence and young adulthood - Epilepsy & Behavior (epilepsybehavior.com) (2021)

A Survey of Healthcare Providers About Reproductive Healthcare for Adolescent Women With Epilepsy - Journal of Pediatric and Adolescent Gynecology (jpagonline.org) (2022)

Pediatric Neurologists’ Perspectives on Sexual and Reproductive Health Care for Adolescent and Young Adult Women With Epilepsy and Intellectual Disability (2022)

Preferences and experiences of women with epilepsy regarding sexual and reproductive healthcare provision - Epilepsy & Behavior (epilepsybehavior.com) (2022)

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Changing epilepsy care through entrepreneurship: Dr. Mark Cook01 Apr 202400:23:25

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People with epilepsy don't always know when they have had a seizure - and yet establishing seizure frequency is a key part of epilepsy management. When Dr. Mark Cook's father was diagnosed with epilepsy, Dr. Cook realized that a system to identify and predict seizures could improve care and change people's lives. Dr. Parthvi Ravat talks with him about entrepreneurship in epilepsy and ways to advance the field through innovation.


Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Maximizing health-related quality of life after pediatric epilepsy surgery: Dr. Mary Lou Smith18 Mar 202400:24:38

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Is surgery for pediatric epilepsy "worth it"? What factors determine quality of life in families with a child who has epilepsy? Dr. Kette Valente talks with Dr. Mary Lou Smith, whose work has implications for clinical treatment decisions, as well as expectations for the impact of treatments in children with epilepsy.

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Clinical neurophysiology training: The present and the future - Dr. Sandor Beniczky04 Mar 202400:15:07

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EEG training varies within countries as well as between them; in many countries, there is no training available. Dr. Bruna Nucera talks with Dr. Sandor Beniczky about the present and future of clinical neurophysiology training, including a recent review that calls for harmonizing this type of training across the globe.

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Neonatal seizures: Guidelines and consensus-based recommendations: Dr. Ronit Pressler19 Feb 202400:24:48

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Seizures are common in neonates, but there is substantial management variability. The Neonatal Task Force of the International League Against Epilepsy (ILAE) developed evidence-based recommendations about anti-seizure medication management in neonates in accordance with ILAE standards.

Dr. Emma Carter speaks with first author Dr. Ronit Pressler about the guidelines and recommendations, and how they were established. 

Treatment of seizures in the neonate: Guidelines and consensus-based recommendations—Special report from the ILAE Task Force on Neonatal Seizures





Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Bringing epilepsy out of the shadows: How far have we come? Dr. Edward (Ted) Reynolds05 Feb 202400:25:15

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In the 1990s, there was more funding for leprosy research in the United Kingdom than for epilepsy research. It was around that time that Dr. Edward (Ted) Reynolds, then president of ILAE, recognized that as a global problem, epilepsy required global solutions.

His idea blossomed into the Global Campaign Against Epilepsy and established a partnership among ILAE, the World Health Organization, and the International Bureau for Epilepsy that continues to this day through the Intersectoral Global Action Plan for Epilepsy and Other Neurological Disorders (IGAP).

Dr. Reynolds is interviewed by Dr. Edward Bertram, ILAE Secretary General.

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Global neurology: Pitfalls and purpose - Dr. Melody Asukile and Dr. Deanna Saylor30 Sep 202400:28:08

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With all the best intentions, undertakings in global neurology can include assumptions and biases that lead to unforeseen negative consequences. Sharp Waves spoke with Drs. Melody Asukile and Deanna Saylor about their recent article on the perils and pitfalls of global neurology. They discussed specific examples of some of these unforeseen consequences and talked about the ingredients for productive, ethical, and sustainable global neurology initiatives.

Resources:
Asukile M et al. The Perils and Pitfalls of Global Engagement (JAMA Neurology)

Global Neurology: Advancing Neurological Care Worldwide (YouTube)

DiBiase R et al. Evaluation of Three Cohorts of the First Neurology Postgraduate Training Program in Zambia (P4-8.001) (Neurology)

Zambia League Against Epilepsy

Epilepsy care in Zambia: “Now that we have neurologists, we will have a voice” (ILAE Sharp Waves episode)

Intersectoral global action plan on epilepsy and other neurological disorders (World Health Organization)

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

"Talking about things that no one else will talk about": Torie Robinson, host of Epilepsy Sparks Insights22 Jan 202400:23:14

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For her podcast, Epilepsy Sparks Insights, Torie Robinson interviews epilepsy clinicians and scientists from around the world. Diagnosed with epilepsy at age 10, Torie is working to share knowledge with people with epilepsy, their families, and the public. Her episode topics range widely, from the biochemistry of epilepsy, to the importance of epilepsy nurses, to epilepsy as an autoimmune condition, to sexual issues.

Listen to Epilepsy Sparks Insights wherever you get your podcasts, including YouTube.

Finding Torie:
Podcast
Website
YouTube
Facebook
Instagram: @TorieRobinson10
X (formerly Twitter): @TorieRobinson10


Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Neurology researcher and parent advocate: Dr. Luis Oliviera and the v-ATPase Alliance08 Jan 202400:26:44

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Dr. Luis Oliviera is parent to a son with an ultra-rare developmental and epileptic encephalopathy.  He's also a researcher with the Michael J. Fox Foundation.  He created an organization bringing parents and researchers together to better understand his son's disorder, which is part of a  group of disorders caused by rare mutations in v-ATPase genes. Dr. Oliviera was interviewed by Dr. Alina Ivaniuk.

Visit the v-ATPase Alliance website

Contact the v-ATPase Alliance

What is v-ATPase?

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

The Idea of Epilepsy: Dr. Phillip Pearl and Dr. Simon Shorvon03 Dec 202300:35:37

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The Idea of Epilepsy, published in 2023, covers the history of epilepsy from multiple perspectives over the past 160 years. It ends with a tantalizing question: Does epilepsy actually exist? Dr. Phillip Pearl interviews author Dr. Simon Shorvon about why and how he wrote the book and what it has to offer clinicians, researchers, and non-scientists alike.

More about The Idea of Epilepsy (from the publisher)

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

First seizure from sleep - What is the risk of recurrence? Dr. Elaine Pang20 Nov 202300:17:21

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Are people who have their first seizure during sleep at greater or lesser risk for future seizures, compared with people who have their first seizure when they're awake? Dr. Laurent Sheybani interviews Dr. Elaine Pang, author of a 2023 paper in Epilepsia that analyzed data from 1,312 adults visiting a first-seizure clinic.

This episode also discusses a 2015 evidence-based guideline on managing a first unprovoked seizure in adults. The guideline was developed by the American Academy of Neurology and the American Epilepsy Society.

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Cannabinoids, endocannabinoids, and epilepsy: Dr. Raphael Mechoulam 06 Nov 202300:15:30

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Dr. Raphael Mechoulam was an organic chemist at the Hebrew University of Jerusalem, and the father of cannabis research. His team was the first to elucidate the structure of cannabidiol, or CBD. 

Dr. Mechoulam passed away in March 2023. This episode is a remastering of a conversation between Dr. Mechoulam and Dr. Meir Bialer, held in 2018 at the 13th European Congress on Epileptology. They spoke about CBD, THC, the endocannabinoid system, and the effects of cannabinoids in epilepsy and other conditions.

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Autism and epilepsy: Dr. Colin Reilly and Dr. Stéphane Auvin23 Oct 202300:28:52

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Nearly one-third of people with autism also have epilepsy. Researchers aren't sure why. 

For people on the spectrum, epilepsy can prompt unique challenges. Seizure symptoms can be misinterpreted as common autistic behaviors. Treatment may also be difficult due to the stress of a clinical setting, or the impact of anti-seizure medications on autism symptoms. Currently, some experts argue that there is a lack of research in assessing these care pathways. 
 
To learn more about diagnosis and treatment for people with autism and epilepsy, Joy Mazur spoke to Dr. Colin Reilly and Dr. Stéphane Auvin.

Related studies/links:

Epilepsy in patients with autism: links, risks and treatment challenges Besag FMC, et al., 2017

Neurobehavioral Comorbidities in Children with Active Epilepsy: A Population-Based Study Reilly C, et al., 2014

Traditional and non-traditional treatments for autism spectrum disorder with seizures: an on-line survey Frye RE, et al., 2011

Epilepsy and autism - National Autistic Society

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Dravet syndrome and the influence of the genome: Dr. Sanjay Sisodiya09 Oct 202300:26:21

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Dravet syndrome is a rare, severe epilepsy caused by changes in a gene called SCN1A. The changes cause the gene to stop functioning normally. But not everyone with this type of genetic change develops Dravet syndrome, and people with Dravet also have a wide range of clinical characteristics, which can't be fully explained by these changes. What else is going on? We spoke with Dr. Sanjay Sisodiya about a recent publication on genomic influences in Dravet syndrome.

This episode is based on a recent publication in the journal Brain:
Widespread genomic influences on phenotype in Dravet syndrome, a ‘monogenic’ condition

Dravet syndrome is a rare severe epilepsy typically caused by loss-of-function SCN1A variants. Despite a recognizable core phenotype, Dravet syndrome also has phenotypic heterogeneity, which cannot be explained by clinical factors or SCN1A variants. 

This relatively small study (34 adults) found that additional genomic variation contributes to the diversity of phenotypes found in Dravet syndromes. The authors suggest that the SCN1A variant may need to act against a "broadly compromised genomic background" to generate the full Dravet syndrome phenotype, and that genomic resilience may contribute to a reduction in mortality risk among adults with Dravet syndrome. 

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Attorney turned author pens an epilepsy-focused novel: Sara Staggs25 Sep 202300:30:20

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Sara Staggs was a civil rights attorney and pregnant with her second child when her doctors told her to stop practicing law: her seizures had become too frequent. Staggs' 2023 novel, Uncontrollable, fictionalizes her experiences with epilepsy and provides insight into how epilepsy affects families, careers, and relationships. 

Staggs talked with Dr. Alina Ivaniuk about her epilepsy history, her surgical evaluation experiences, and how she pivoted from attorney to author.

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Cerebral amyloid angiopathy, seizures, and epilepsy: Dr. Brin Freund11 Sep 202300:21:23

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We'll frame today's talk around a paper recently published in the European Journal of Neurology:  "The incidence and risk factors associated with seizures in cerebral amyloid angiopathy." With us today is the first author of the article, Dr. Brin Freund. 

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Research recap: Modified Atkins diet and health-related quality of life - Dr. Magnhild Kverneland28 Aug 202300:19:02

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Diet treatments are often used with the aim of reducing seizure frequency and severity — but they may have other benefits as well.

Findings from a recent study conducted in Norway suggest that dietary treatments may normalize emotional symptoms and that health-related quality of life (HRQOL) might be an indicator of successful diet treatment in the future. Joy Mazur spoke with Dr. Magnhild Kverneland about the study's results and its implications.   

Health-related quality of life in adults with drug-resistant focal epilepsy treated with modified Atkins diet in a randomized clinical trial was published in Epilepsia in March 2023.

Related studies:

Anxiety and depressive disorders in people with epilepsy: A meta-analysis Scott A, et al., 2017

Modified ketogenic diets in adults with refractory epilepsy: Efficacious improvements in seizure frequency, seizure severity, and quality of life Roehl K, et al., 2019

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Epilepsy comorbidities present before diagnosis: Research recap with Remy Pugh and Dr. Chris Tailby16 Sep 202400:20:22

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Some people with epilepsy also experience memory and learning issues, as well as depression or anxiety. A small study in Australia screened people for these conditions at a first seizure clinic before any anti-seizure medications had been prescribed. Compared with a control group, the people at the first seizure clinic had higher rates of all of these cognitive and neuropsychological issues.

The study is published in Epilepsia Open.



Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Statins and epilepsy: Dr. Emilio Russo & Dr. Tony Marson14 Aug 202300:21:29

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Some published data suggest that besides their effect on cholesterol, statins also may play a neuroprotective role in some neurological disorders, including epilepsy. Dr. Bruna Nucera interviews Dr. Anthony Marson and Dr. Emilio Russo about whether and how to test statins as potential anti-epileptogenic drugs.

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Caring for someone with functional seizures: Shannon Guinard's story31 Jul 202300:14:37

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Functional seizures, also known as psychogenic nonepileptic seizures (PNES), resemble epileptic seizures. Unlike epilepsy, they are not prompted by any electrical activity in the brain. People with functional seizures live with stigma, stress, and emotional and financial burden — and so do their care partners.

Joy Mazur spoke with Shannon Guinard, who cares for her husband, about the challenges and stigmas that face care partners of people with functional seizures.

Resources and relevant articles: 

Information about psychogenic non epileptic seizures

Depression and anxiety in caregivers of patients with functional seizures Tsamakis K, et al., 2023

Social aspects of life in patients with functional seizures: Closing the gap in the biopsychosocial formulation Asadi-Pooya AA, et al., 2021

Welfare consequences for people diagnosed with nonepileptic seizures: A matched nationwide study in Denmark Jennum, et al., 2019

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Circadian rhythms and epilepsy Part II: Dr. Maxime Baud17 Jul 202300:33:38

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Do seizures have daily, weekly, monthly, or other rhythms? In Part 2 of our two-part series on circadian rhythms, Dr. Laurent Sheybani talks with Dr. Maxime Baud about the latest research on circadian and multidien rhythms in epilepsy.

Selected publications:

Seizure cycles in focal epilepsy - MG Leguia, et al. (2021) JAMA Neurology

Endogenous multidien rhythm of epilepsy in rats - MO Baud, et al. (2019) Experimental Neurology

Lamellar bone is an incremental tissue reconciling enamel rhythms, body size, and organismal life history - TG Bromage, et al. (2009) Calcified Tissue International

Multi-day rhythms modulate seizure risk in epilepsy - MO Baud, et al. (2018) Nature Communications

Seizure forecasting: Bifurcations in the long and winding road - MO Baud, et al. (2022) Epilepsia

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Circadian rhythms and epilepsy Part I: Dr. Mark Quigg03 Jul 202300:31:59

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 The cyclic properties of seizures have been known for more than 100 years, but does everyone with epilepsy have a seizure pattern? What can be learned from seizure diaries, RNS data, and animal models, and how can this information guide further research and clinical care? Dr. Laurent Sheybani talks with Dr. Mark Quigg about circadian rhythms in epilepsy.

Selected publications:
Electrocorticographic events from long-term ambulatory brain recordings can potentially supplement seizure diaries - Quigg M, et al. (2020) Epilepsy Research

Circadian and ultradian patterns of epileptiform discharges differ by seizure-onset location during long-term ambulatory intracranial monitoring - Spencer DC, et al. (2016) Epilepsia

Interrater reliability in interpretation of electrocorticographic seizure detections of the responsive neurostimulator - Quigg M, et al. (2015) Epilepsia

Variation of seizure frequency with ovulatory status of menstrual cycles - Herzog AG, et al. (2011) Epilepsia

Is there a circadian variation of epileptiform abnormalities in idiopathic generalized epilepsy? Pavlova MK, et al. (2009) Epilepsy & Behavior

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

An update on SUDEP and SUDEP counseling: Dr. Suvasini Sharma19 Jun 202300:25:04

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Sudden Unexpected Death in Epilepsy (SUDEP) affects about one out of every 1.000 people with epilepsy.  Despite its rarity, SUDEP is important to discuss, but some physicians are wary of having the conversations. Dr. Emma Carter spoke with Dr. Suvasini Sharma about SUDEP, why it's important to inform patients and families about it, and how to manage risk factors.

The greatest risk factor for SUDEP is uncontrolled generalized tonic-clonic seizures (previously called grand mal seizures). Nocturnal seizures and certain comorbidities, such as developmental delay, also are risk factors.

SUDEP information for families from the ILAE (ilae.org)

Relevant articles:

Sudden Unexpected Death in Epilepsy (SUDEP) - What pediatricians need to know Garg D, Sharma S, 2020

Effect of counselling of parents of children with epilepsy focusing on sudden unexpected death in epilepsy Kumari S, et al., 2022

Counseling about sudden unexpected death in epilepsy (SUDEP): A global survey of neurologists' opinions Asadi-Pooya AA, et al., 2022

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Artificial intelligence and epilepsy: Dr. Christian Bosselmann05 Jun 202300:35:50

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Discussions of artificial intelligence and ChatGPT are everywhere. How will this technology affect epilepsy research and care? What are the dangers and pitfalls, and what do we need to know when designing research studies that use AI technology?

Dr. Alina Ivaniuk interviewed Dr. Christian Bosselmann, an epilepsy precision medicine research fellow at the Cleveland Clinic, about the history of chatbots, the promise and pitfalls of artificial intelligence, and tips for critically evaluating studies that utilize AI.

Mentioned in the discussion:
Are AI language models such as ChatGPT ready to improve the care of individuals with epilepsy?

Comparing physician and artificial intelligence chatbot responses to patient questions posted to a public social media forum

This episode was reported by Alina Ivaniuk, and edited and produced by Nancy Volkers.

Feedback and ideas welcome: podcast@ilae.org

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Neurocysticercosis and epileptogenesis: Dr. Hector Garcia21 May 202300:24:45

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Neurocysticercosis - an infection of the brain by a pork tapeworm (Taenia solium) – is one of the most common causes of seizures worldwide. People with neurocysticercosis have incidentally ingested tapeworm eggs, which are found in the feces of people who have tapeworms in their digestive systems (a condition called taeniasis). The eggs can migrate to any organ and form larval cysts; the brain is one of the most common sites.

Pigs are intermediate hosts, so neurocysticercosis occurs in regions where humans live in close contact with pigs and eat undercooked pork. Poor sanitation that leads to environmental fecal contamination is a major factor in transmission. 

Selected publications from the Cysticercosis Working Group in Peru:
Quality of life in patients with symptomatic epilepsy due to neurocysticercosis (2022)

New animal models of neurocysticercosis can help understand epileptogenesis in neuroinfection (2022)

Geographically targeted interventions versus mass drug administration to control Taenia solium cysticercosis in Peru (2021)

Current diagnostic criteria for neurocysticercosis (2021)

Neurocysticercosis: A frequent cause of seizures, epilepsy, and other neurological morbidity in most of the world (2021)

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

How and why to address medication adherence: Dr. Avani Modi and Dr. Desiree Williford07 May 202300:34:16

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Most people with epilepsy have difficulty always taking their medications as prescribed. How can clinicians and patients talk about the issue and find solutions? Sharp Waves spoke with Dr. Avani Modi and Dr. Desiree Williford, authors of a recent study on pediatric adherence in epilepsy.

During the episode, Dr. Modi mentions online resources that can help individuals and families find ways to take medication as directed. These are available in English and Spanish on the Epilepsy Foundation website.

The STAR trial (Supporting Treatment Adherence Regimens) was a randomized controlled trial. Results can be found at this link.

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Africa's plans for improving epilepsy care: Action Amos23 Apr 202300:21:57

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ILAE spoke with Action Amos, from the International Bureau for Epilepsy (IBE) about plans and strategies for improving epilepsy care across Africa. Leveraged by the Intersectoral Global Action Plan on epilepsy and other neurological disorders, four "trendsetter" countries are taking a variety of approaches to engage governments, increase public awareness, and ensure the participation of people with epilepsy in all of their initiatives.

IBE aims to improve the lives of people with epilepsy and those who care for them.

Resources:

Making Epilepsy A Health Priority in Africa

Reducing epilepsy stigma in Africa

Discriminatory health laws and epilepsy: A report on 21 African countries

IGAP Unpacked

The BAND Foundation

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Managing epilepsy in older adults: Dr. Loretta Piccenna & Dr. Rebecca O'Dwyer10 Apr 202300:20:42

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Dr. Anca Arbune interviews two authors of a recent critical review on managing epilepsy in the elderly, developed by the ILAE Commission on Epilepsy in Older Adults. They discuss choosing an anti-seizure medication, monitoring cognitive changes, assessing quality of life, status epilepticus, the potential of epilepsy surgery, and the need for more research.

Listeners interested in the newly formed consortium mentioned by Dr. O'Dwyer can contact her through the ILAE website

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Reflections on the life and career of Dr. Juhn Wada (1924-2023)02 Sep 202400:37:28

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Juhn Atsushi Wada was a Japanese–Canadian neurologist known for research on epilepsy and human brain asymmetry, including his description of the Wada test to assess cerebral hemispheric dominance of language function. The Wada test is the gold standard for establishing cerebral dominance and is conducted worldwide prior to epilepsy surgery. He became a pioneer in the utilization of the kindling model of epilepsy, which permitted controlled studies of the development of epilepsy in the laboratory.

Drs. Maryam Nouri and Laurent Sheybani interviewed Drs. Jerome Engel Jr., Marilyn Jones-Gotman, and Solomon Moshe about their memories and relationships with Dr. Wada and his impact on epilepsy research and clinical care.

More information on Dr. Wada:
In memoriam: Juhn Atsushi Wada (Epilepsia Open)

Juhn Wada 1924-2023 (ILAE website)

Dr. Juhn Atsushi Wada (British Columbia Medical Journal)

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Postpartum morbidity and rehospitalization in women with epilepsy: Research recap27 Mar 202300:24:54

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Dr. Bruna Nucera interviewed Dr. Andrea Cheng-Hakimian about a retrospective study that included 28 years of data from women with epilepsy who gave birth in Washington State.

This US study compared the relative occurrence of selected pregnancy outcomes and postpartum rehospitalizations among women with and without epilepsy and their infants. It used linked hospital records of women with deliveries in Washington State between 1987 and 2014. 

Women with epilepsy had increased risks of preeclampsia (RR 1.23; 95 % CI 1.08-1.41) and gestational diabetes (RR 1.18; 95 % CI 1.02-1.36). Their infants had increased risks of malformation (RR 1.23; 95 % C: 1.08-1.42) and small for gestational age (RR 1.39; 95 % CI 1.25-1.54) , and were nearly three times as likely to not be breastfed. 

Mothers (RR 5.25; 95 % CI 2.46-11.23) and their infants (RR 1.64, 95 % CI 1.41-1.89) required more ICU admissions during hospitalization for delivery and more postpartum rehospitalization, with greatest risk in the first six months. 

Maternal mortality (up to 2 years after delivery) was increased (RR 7.11; 95 % CI 2.47-20.49). Risks of preterm delivery and low birthweight increased over the study time period (p <.05). 

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Moving epilepsy care closer to home: Dr. Gagandeep Singh & Dr. Meenakshi Sharma13 Mar 202300:29:40

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Can we improve epilepsy outcomes by bringing care closer to home? A cluster randomized trial compared home care with community health workers to standard clinic care.

ILAE spoke with Dr. Gagandeep Singh and Dr. Meenakshi Sharma, authors of the study publication, which was published in Epilepsia Open.

Twenty-four clusters, each comprising 10 people with epilepsy, were randomized to either home-based or clinic care. Home-care recipients had better medication adherence and fewer seizures, compared with clinic-care recipients. Significantly more people from clinic care (37%) than home care (19%) exited the trial (P = 0.003).

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Epilepsy care in Ukraine: Dr. Olha Tychkivska27 Feb 202300:35:20

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How has the crisis in Ukraine affected people with epilepsy and their families, as well as the physicians who care for them? Dr. Alina Ivaniuk speaks with Dr. Olha Tychkivska about the volunteer efforts to provide anti-seizure medication to people in Ukraine, as well as Ukrainians who fled to other countries.

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

"Living with epilepsy should not be a secret": Jessie Nyirenda13 Feb 202300:14:09

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Jessie Nyirenda's seizures began in her early teens. She was dismissed as attention-seeking and told she might be cursed. Years later, Jessie discovered information about her condition through library research and was formally diagnosed. She now works as a financial educator and is a mother of three children.

Jessie was part of an advisory board to the International Bureau for Epilepsy, which helped develop an advocate's toolkit on counteracting epilepsy stigma in Africa. The toolkit is the first of several that will be developed in different regions of the world.

Dr. Bruna Nucera interviewed Jessie about her experience with epilepsy, her advice to others with epilepsy, and how she has dealt with discrimination.

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Addressing epilepsy stigma from the ground up: Mary Secco13 Feb 202300:18:49

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Stigmatizing people with epilepsy is a form of discrimination, and it can affect all aspects of someone's life: school, family life, work, friendships, relationships, and marriage.

The International Bureau for Epilepsy (IBE), ILAE's partner organization, consulted people with epilepsy and their families to produce a toolkit for addressing epilepsy stigma in Africa. The materials provide concrete, practical ways that advocates can work to reduce stigma in African countries.

IBE plans to produce similar toolkits customized to other regions of the world.

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Sleep and epilepsy: Dr. Birgit Frauscher30 Jan 202300:28:26

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Bidirectional links between epilepsy and sleep have been known for thousands of years. Despite nearly a century of research using EEG investigations, the relationships are still not well understood.

Dr. Laurent Sheybani interviewed Dr. Birgit Frauscher, an epileptologist and sleep specialist at the Montreal Neurological Institute. They discussed what is known about sleep patterns, how sleep may influence epileptic activity and vice versa, and how sleep research may lead to more effective epilepsy treatments.

Studies mentioned in the interview include:
Interictal Hippocampal Spiking Influences the Occurrence of Hippocampal Sleep Spindles (Frauscher et al., 2015, Sleep)

Focal epilepsy disrupts spindle structure and function (Schiller et al., 2022, Nature Scientific Reports)

Origin and significance of the cyclic alternating pattern: Review article (Terzano & Parrino, 2000, Sleep Medicine Reviews)

SleepSEEG: automatic sleep scoring using intracranial EEG recordings only (von Ellenrieder et al., 2022, J. Neural Eng.)

Recurrent Hippocampo-neocortical sleep-state divergence in humans (Guthrie et al., 2022, PNAS)

Scalp spindles are associated with widespread intracranial activity with unexpectedly low synchrony (Frauscher et al., 2015, Neuroimage)

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Dr. Andres Kanner: A career journey bridging neurology and psychiatry09 Jan 202300:33:08

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Dr. Andres Kanner is one of the best known researchers in the behavioral aspects of epilepsy, and has authored more than 300 papers and book chapters. 

Dr. Kanner sat down with ILAE to talk about his original goal of becoming an artist, his path to epileptology, and how he has worked to become what patients call "an amazing, compassionate doctor".

He is director of the University of Miami School of Medicine's Comprehensive Epilepsy Center of Excellence, chief of the Epilepsy Division, and professor of clinical neurology. 

Dr. Kanner is quadruple-boarded in neurology, psychiatry, clinical neurophysiology and epilepsy. He has long-standing research interests in the areas of pharmacology of epilepsy, psychiatric aspects of epilepsy and surgical treatment of treatment-resistant focal epilepsy. 

He has served on the editorial boards of several journals and held leadership positions in many organizations, including the International League Against Epilepsy, American Epilepsy Society, and American Academy of Neurology.

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Multi-centre Epilepsy Lesion Detection (MELD) Project: Dr. Konrad Wagstyl13 Dec 202200:19:18

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Improving lesion detection in people with drug-resistant epilepsy is crucial for optimal surgical outcomes. The MELD Project is an open-science consortium using deep learning principles to develop automated lesion detection of clinical MRI data. Dr. Maryam Nabavi Nouri spoke with Dr. Konrad Wagstyl about the project, publications, progress, and goals.

Currently, the MELD project has three ongoing themes:

  • Automated detection of lesions in patients with drug-resistant epilepsy
  • Understanding the topographical distribution of focal cortical dysplasias (FCDs)
  • Morphological characterisation of FCD lesions

Twitter: @meld_project

Website: MELD Project

Publications:

Atlas of lesion locations and postsurgical seizure freedom in focal cortical dysplasia: A MELD study (2021, Epilepsia)

Interpretable surface-based detection of focal cortical dysplasias: a Multi-centre Epilepsy Lesion Detection study (2022, Brain)

Networks Underlie Temporal Onset of Dysplasia-Related Epilepsy: A MELD Study (2022, Annals of Neurology)


Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Career development profile: Dr. Caroline Neuray29 Nov 202200:37:47

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Dr. Alina Ivaniuk talks with Dr. Caroline Neuray about her career path from medical school to industry CEO. (It's not as direct as it sounds!) They discuss the power of peer mentoring, ways to improve medical education, finding the courage to accept change, and what's up with those comments from reviewer #2, anyway.

Dr. Neuray is Chief Executive Officer of Epilog, which offers advanced EEG analysis to support clinical care, clinical trials, and research. She received her MD from the University of Munich and completed neurology training at Paracelsus Medical University in Salzburg, with a clinical fellowship in epilepsy at University College London. Dr. Neuray also completed an MBA short course at the London School of Economics. She is a founding member of ILAE's Young Epilepsy Section (YES) and a former YES regional representative (Europe). She serves on several ILAE committees.

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

NORSE/FIRES: International recommendations for diagnosis and treatment14 Nov 202200:22:06

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First-line immunotherapy and the ketogenic diet are two main recommendations for treatment of NORSE/FIRES of unknown cause, according to results from an international consensus group published in Epilepsia.

Dr. Maryam Nabavi Nouri interviews first author Dr. Ronny Wickstrom.

For cases with unknown etiology,  first-line immunotherapy should be considered within 72 hours of seizure onset, and second-line immunotherapy and the ketogenic diet should be considered within 7 days of seizure onset.

The recommendations and clinical tools are available now:

International consensus recommendations for management of new-onset refractory status epilepticus (NORSE) including febrile infection-related epilepsy syndrome (FIRES): Summary and clinical tools


International consensus recommendations for management of new-onset refractory status epilepticus (NORSE) including febrile infection-related epilepsy syndrome (FIRES): Statements and supporting evidence

This episode was reported by Dr. Maryam Nabavi Nouri and edited and produced by Nancy Volkers.

Sharp Waves content is meant for informational purposes only and not as medical or clinical advice.

Families affected by NORSE can join the NORSE Family Registry and contribute information that may help shape and initiate research.  NORSE Family Registry registration information is available in multiple languages:
English | Francais| Mandarin | Espanol

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Astrocytes and epilepsy: Dr. Peter Bedner19 Aug 202400:23:46

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Previously thought to be mere connective tissue and support for neurons, astrocytes are now understood to have many functions in the nervous system that are linked with seizures and epilepsy. Dr. Cecilie Nome spoke with Dr. Peter Bedner about astrocytes' involvement in epilepsy and how identifying and resolving astrocyte dysfunction is a new frontier in drug development.

Relevant articles:
de Ceglia R., et al. 2023. Specialized astrocytes mediate glutamatergic gliotransmission in the CNS. Nature 622, 120–129.

Grote A., et al. 2023. ‘Hippocampal innate inflammatory gliosis only’ in pharmacoresistant temporal lobe epilepsy. Brain 146(2), 549-560.

Ravi V.M., et al. 2015. Astrocyte uncoupling as a cause of human temporal lobe epilepsy. 2015. Brain 138(5), 1208-1222.


Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Nursing in epilepsy care: Roles, value, and the road ahead01 Nov 202200:33:24

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Nurses have been called the "glue" of epilepsy care, but their value and impact aren't always appreciated. The ILAE Nursing Section welcomes nurses from every country to help advocate for a better understanding of what nurses do, how their care improves outcomes in people with epilepsy, and how nurses can contribute to the goals of the Intersectoral Global Action Plan for Epilepsy and other Neurological Diseases (IGAP).

Support from epilepsy clinicians and researchers is vital. Epigraph spoke with Nursing Section leaders Karen Legg, Patty Osborne Shafer, and Jane von Gaudecker about the roles and responsibilities of epilepsy nurses, and how clinicians can support them.

Join the ILAE Nursing Section
Learn more about the ILAE Nursing Section

Research links:

Nurse-led care for epilepsy at the primary level in a rural health district in Cameroon (2008 - Kengne AP et al., Epilepsia)

Patients with epilepsy care experiences: Comparison between services with and without an epilepsy specialist nurse (2018 - Higgins A et al., Epilepsy & Behavior)

Epilepsy Specialist Nurses: The Evidence (the ESPENTE study) (2019 - Campbell F et al.)

Benefits of the epilepsy specialty nurse role, standardized practices and education around the world (2019 - Prevos-Morgant M et al, Revue Neurologique)

 A 2022 report by Epilepsy Consortium Scotland that highlights the importance of epilepsy nurse services during the pandemic


This episode was reported, edited, and produced by Nancy Volkers.

Contact us with feedback or episode ideas at podcast@ilae.org.

Sharp Waves content is meant for informational purposes only and not as medical or clinical advice.

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Research recap: Infant motor and mental development in women with epilepsy - Dr. Sanjeev Thomas18 Oct 202200:16:26

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Does in utero exposure to anti-seizure medication affect motor and mental development? A study using data from the Kerala Registry of Epilepsy in Pregnancy included more than 1,300 infants. Those exposed to valproate monotherapy, as well as any polytherapy, had higher risks of developmental delay.

Dr. Bruna Nucera talked with Dr. Sanjeev Thomas about the findings and implications of the study.

The study, Differential impact of antenatal exposure to antiseizure medications on motor and mental development in infants of women with epilepsy, was published in Epileptic Disorders in June 2022.

Other publications from the Kerala Register of Epilepsy in Pregnancy

Other epilepsy pregnancy registries:

Australian Register
EURAP
North American Pregnancy Registry
UK Register


This episode was reported by Dr. Bruna Nucera, and edited and produced by Nancy Volkers.

Sharp Waves content is meant for informational purposes only and not as medical or clinical advice. 


Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Epilepsy and Alzheimer's disease: Dr. Andrew Cole & Dr. Alice Lam04 Oct 202200:31:46

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What are the associations between Alzheimer's disease and epilepsy?  Dr. Patricia Saletti interviews Dr. Andrew Cole and Dr. Alice Lam.

Recent studies have revealed intriguing connections between epilepsy and Alzheimer's disease, including a bidirectional increased risk and subclinical seizures in people with Alzheimer's. What do these relationships mean for people with these conditions, and what's the latest research?

Sharp Waves content is meant for informational purposes only and not as medical or clinical advice. The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Twitter, and Instagram.

Research mentioned in this episode

Noninvasive Detection of Hippocampal Epileptiform Activity on Scalp Electroencephalogram – Abou Jaoude M, et al. (JAMA Neurology 2022)

Towards a coherent view of network hyperexcitability in Alzheimer’s disease – Lam et al. (Brain 2022)

Neuronal synchrony abnormalities associated with subclinical epileptiform activity in early-onset Alzheimer’s disease – Ranasinghe KG, et al. (Brain 2022)

Effect of Levetiracetam on Cognition in Patients with Alzheimer Disease With and Without Epileptiform Activity: A Randomized Clinical Trial  Vossel K et al. (JAMA Neurology 2021)

Association of epileptiform abnormalities and seizures in Alzheimer disease – Lam et al. (Neurology 2020)

New Approaches to Studying Silent Mesial Temporal Lobe Seizures in Alzheimer's Disease – Lam et al. (review, Front Neurol 2019)

Biomarker definitions and their applications – Califf RM (Exp Bio Med, 2018)

Silent hippocampal seizures and spikes identified by foramen ovale electrodes in Alzheimer's disease – Lam AD et al. (Nature Medicine 2017)

Neuronal activity regulates extracellular tau in vivo - Yamada K et al. (J Exp Med 2014)

Neuronal activity regulates the regional vulnerability to amyloid-β deposition – Bero AW et al. (Nat Neurosci 2011)

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

Career development profile: Dr. Meriem Bensalem-Owen19 Sep 202200:27:00

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Dr. Alina Ivaniuk interviews Dr. Meriem Bensalem-Owen about growing up in Algeria, attending medical school during a civil war, moving to the United States for training, and starting Kentucky's first epilepsy fellowship program. Dr. Bensalem-Owen directs the epilepsy program at the University of Kentucky and is a past board member of the National Association of Epilepsy Centers. She is passionate about Brazilian jiu jitsu and Argentine tango, and doesn't get enough sleep.

Read more about Dr. Bensalem-Owen and find her on Twitter.


This episode was reported by Dr. Alina Ivaniuk, and edited and produced by Nancy Volkers.

Sharp Waves content is meant for informational purposes only and not as medical or clinical advice. The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Twitter, and Instagram.

Contact us with comments or episode ideas at podcast@ilae.org

Sharp Waves episodes are meant for informational purposes only, and not as clinical or medical advice.

Let us know how we're doing: podcast@ilae.org.

The International League Against Epilepsy is the world's preeminent association of health professionals and scientists, working toward a world where no person's life is limited by epilepsy. Visit us on Facebook, Instagram, and LinkedIn.

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