Sharp Waves: ILAE's epilepsy podcast

Recent community-based studies suggest that people with chronic epilepsy have three times the risk of sudden cardiac death, compared with the general population. The studies also found that two-thirds of the cases of cardiac arrest in people with epilepsy did not occur directly before, during, or after a seizure. How do seizures affect the heart, both acutely and chronically? Dr. Trudy Pang and Dr. Richard Verrier have introduced the concept of the "epileptic heart" as "a heart and coronary vasculature damaged by chronic epilepsy as a result of repeated surges in catecholamines and hypoxemia, leading to electrical and mechanical dysfunction." Dr. Parthvi Ravat talks with both of them about their work and its relevance to epilepsy treatment. Subscribe to the ILAE Academy's Level 1 program and gain access to a portfolio of courses covering the basic principles in clinical epileptology. You’ll learn to manage the most common forms of seizures and types of epilepsy, and to provide first-line drug treatment. Sharp Waves listeners can enter the promotional code sharpwaves15 to get 15% off the level 1 program until the end of July. Visit ilae-academy.org and use the promo code sharpwaves15. Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

When a child with epilepsy ages out of pediatric healthcare, the shift to adult epilepsy care can be complex. Planning this transition and coordinating care can prevent gaps that can affect quality of life and possibly lead to health crises. A recent survey of people with epilepsy treated inside and outside of academic medical centers found that transition care was lacking. One-fourth of young adults with epilepsy were still followed by their pediatric neurologists and only 4% said they received clear instructions during the transfer of care process. Sharp Waves spoke with the paper’s senior author about the results and their implications. Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

In northern Nigeria, as in many other low- and middle-income countries, more people need epilepsy treatment than traditional medical care can support. Dr. Edwin Trevathan discusses projects in that region aimed at identifying children with undiagnosed epilepsy and improving access to care, as well as research to better understand the risks and prognosis of pediatric status epilepticus. Dr. Trevathan heads the BRIDGE project (Bridging the Childhood Epilepsy Treatment Gap in Africa) and the SEED project (Childhood Status Epilepticus and Epilepsy Determinants of Outcome). Both are funded through the US National Institutes of Health Fogarty International Center. Subscribe to the ILAE Academy's Level 1 program and gain access to a portfolio of courses covering the basic principles in clinical epileptology. You’ll learn to manage the most common forms of seizures and types of epilepsy, and to provide first-line drug treatment. Sharp Waves listeners can enter the promotional code sharpwaves15 to get 15% off the level 1 program until the end of July. Visit ilae-academy.org and use the promo code sharpwaves15. Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

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 Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

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. Subscribe to the ILAE Academy's Level 1 program and gain access to a portfolio of courses covering the basic principles in clinical epileptology. You’ll learn to manage the most common forms of seizures and types of epilepsy, and to provide first-line drug treatment. Sharp Waves listeners can enter the promotional code sharpwaves15 to get 15% off the level 1 program until the end of July. Visit ilae-academy.org and use the promo code sharpwaves15. Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

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 Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

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 Subscribe to the ILAE Academy's Level 1 program and gain access to a portfolio of courses covering the basic principles in clinical epileptology. You’ll learn to manage the most common forms of seizures and types of epilepsy, and to provide first-line drug treatment. Sharp Waves listeners can enter the promotional code sharpwaves15 to get 15% off the level 1 program until the end of July. Visit ilae-academy.org and use the promo code sharpwaves15. Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

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) Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

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. Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

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. Subscribe to the ILAE Academy's Level 1 program and gain access to a portfolio of courses covering the basic principles in clinical epileptology. You’ll learn to manage the most common forms of seizures and types of epilepsy, and to provide first-line drug treatment. Sharp Waves listeners can enter the promotional code sharpwaves15 to get 15% off the level 1 program until the end of July. Visit ilae-academy.org and use the promo code sharpwaves15. Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

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. Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

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 Subscribe to the ILAE Academy's Level 1 program and gain access to a portfolio of courses covering the basic principles in clinical epileptology. You’ll learn to manage the most common forms of seizures and types of epilepsy, and to provide first-line drug treatment. Sharp Waves listeners can enter the promotional code sharpwaves15 to get 15% off the level 1 program until the end of July. Visit ilae-academy.org and use the promo code sharpwaves15. Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

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. Subscribe to the ILAE Academy's Level 1 program and gain access to a portfolio of courses covering the basic principles in clinical epileptology. You’ll learn to manage the most common forms of seizures and types of epilepsy, and to provide first-line drug treatment. Sharp Waves listeners can enter the promotional code sharpwaves15 to get 15% off the level 1 program until the end of July. Visit ilae-academy.org and use the promo code sharpwaves15. Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

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 Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

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? Subscribe to the ILAE Academy's Level 1 program and gain access to a portfolio of courses covering the basic principles in clinical epileptology. You’ll learn to manage the most common forms of seizures and types of epilepsy, and to provide first-line drug treatment. Sharp Waves listeners can enter the promotional code sharpwaves15 to get 15% off the level 1 program until the end of July. Visit ilae-academy.org and use the promo code sharpwaves15. Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

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) Subscribe to the ILAE Academy's Level 1 program and gain access to a portfolio of courses covering the basic principles in clinical epileptology. You’ll learn to manage the most common forms of seizures and types of epilepsy, and to provide first-line drug treatment. Sharp Waves listeners can enter the promotional code sharpwaves15 to get 15% off the level 1 program until the end of July. Visit ilae-academy.org and use the promo code sharpwaves15. Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

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. Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

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. Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

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 Subscribe to the ILAE Academy's Level 1 program and gain access to a portfolio of courses covering the basic principles in clinical epileptology. You’ll learn to manage the most common forms of seizures and types of epilepsy, and to provide first-line drug treatment. Sharp Waves listeners can enter the promotional code sharpwaves15 to get 15% off the level 1 program until the end of July. Visit ilae-academy.org and use the promo code sharpwaves15. Support the Show. 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, X (Twitter), Instagram, and LinkedIn.

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. Subscribe to the ILAE Academy's Level 1 program and gain access to a portfolio of courses covering the basic principles in clinical epileptology. You’ll learn to manage the most common forms of seizures and types of epilepsy, and to provide first-line drug treatment. Sharp Waves listeners can enter the promotional code sharpwaves15 to get 15% off the level 1 program until the end of July. Visit ilae-academy.org and use the promo code sharpwaves15. Support the Show. 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, X (Twitter), Instagram, and LinkedIn.