Program Book - American Epilepsy Society

SUNDAY December 7, 20088:00 a.m. – 4:15 p.m.Annual Course: Matching Treatments toSeizures and SyndromesCC – Ballroom 6COverviewInnovations in care for patients with epilepsy evolve rapidly. Thus, it isimpossible for the busy clinician to keep abreast of all the new treatments andtheir place in the therapy of epilepsy without getting a periodic comprehensiveupdate. This course is designed to provide clinicians who treat epilepsy with thenewest information about management of seizures and epilepsy syndromes.Discussion will focus on the numerous new therapies now available, includingmedications, diets, and surgical procedures and stimulators. The aim of thiscourse is to offer information so that the clinicians will be able to logicallychoose and offer the best therapy available for each epilepsy patient.Target AudienceNeurologists, epileptologists, nurse specialists, pharmacists and otherhealthcare professionalsLearner Outcomesu Increase the frequency with which you suspect a diagnosis of Dravetsyndrome in patients with refractory seizures coupled with certainphenotypic signsu Have increased knowledge of and confidence in your ability to prescribenewer therapies for seizure reduction in patients with Dravet syndromeu Identify and evaluate the pros and cons associated with treating and nottreating benign epilepsy of childhood with rolandic spikesu Avoid delay in offering advanced therapies to patients with atonic or tonicseizures that have proven refractory to frontline therapyu Select therapy for absence seizures that offers the best chance at seizurereduction and the least chance for seizure aggravation, based on the bestavailable evidenceu Select pharmacotherapy for JME in women of childbearing age that has thelowest risk for poor outcomes in future pregnancies, based on the bestavailable evidenceu Have increased confidence in your ability to select the best AED therapy forpatients with partial onset seizures.u Select pharmacotherapy for patients with refractory seizures that offer thebest chance at seizure reduction, based on the best available evidence.ProgramCo-Chairs: Elinor Ben-Menachem, M.D., Ph.D. and Michael Sperling, M.D.8:00 – 8:10 a.m. Introduction and Opening RemarksElinor Ben-Menachem, M.D., Ph.D.1. Dravet Syndrome8:10 – 8:40 a.m. Video Case PresentationEtiology and Diagnosis Even in the AdultPopulation: How to Find Patients andTreatment SuggestionsAlexis A. Arzimanoglu, M.D.Video Case Presentation – 20 years later2. Benign Epilepsy of Childhood with Rolandic Spikes8:40 – 9:10 a.m. Debate: To Treat or Not to Treat and If So,With What?W. Donald Shields, M.D. and O. Carter Snead III, M.D.3. Tonic and Atonic Seizures9:10 – 9:30 a.m. Video Case PresentationMedical Therapy and Ketogenic DietEileen P. G. Vining, M.D.Video Case Presentation – 20 years later9:30 – 10:00 a.m. Debate: What’s Next? VNS vs. Callosotomy?David W. Roberts, M.D. and William E. Rosenfeld, M.D.10:00 – 10:20 a.m. Break4. Absences10:20 – 10:40 a.m. Video Case PresentationTreatment Causes of Seizure Aggravation inIdiopathic Epilepsies, Especially AbsencesErnest Somerville, FRACPVideo Case Presentation – 20 years later10:40 – 11:10 a.m. Debate: Use a New AED or an Old One(VPA or ETH) as First Drug for Treatmentof Absence?L. James Willmore, M.D. and Patricia E. Penovich, M.D.5. Choice of AEDs in Women with Juvenile Myoclonic Epilepsy11:10 – 11:40 a.m. Video Case PresentationDebate: In a Girl, What Is the First LineTherapy? Use Valproate First vs. Use aNew AED First – Which One?Georgia D. Montouris, M.D. and Bassel W. Abou-Khalil, M.D.Video Case Presentation – 20 years later11:40 – 1:00 p.m. Lunch Break6. Partial Onset Seizures1:00 – 1:25 p.m. Tailoring Initial Drug Therapy to IndividualPatient Needs in Partial Onset SeizuresR. Eugene Ramsay, M.D.1:25 – 1:55 p.m. Debate: Should Enzyme Inducing Drugs BeConsidered as First Line Agents?Richard H. Mattson, M.D. and Scott Mintzer, M.D.7. Refractory Seizures1:55 – 2:15 p.m. Video Case PresentationTreatment Algorithms for Treating RefractoryPartial EpilepsyBarbara C. Jobst, M.D.Video Case Presentation – 20 years later2:15 – 2:45 p.m. Debate: Is There a Significant Advantage to BeGained by Trying Additional AEDs After Two HaveFailed or Go Directly to Early Surgery Evaluation?Patrick Kwan, M.D. and Michael Sperling, M.D.2:45 – 3:05 p.m. Break3:05 – 3:35 p.m. Debate: Rational Polytherapy: Is There Sucha Thing?Jacqueline A. French, M.D. and R. Edward Faught, Jr., M.D.(continued on page 41)40AES 62 ND ANNUAL MEETING 2nd Biennial North American Regional Epilepsy Congresswww.AESNET.org