Pediatric State of the Art Symposium: Identifying and Managing the Comorbidities of Pediatric Epilepsy
Program Length: 120 minutes
Children with epilepsy have an increased risk of neuropsychological and neuropsychiatric impairments that may predate seizure onset and can persist — even after seizures are medically controlled — into adulthood, and thus are arguably more impairing than seizures themselves. The comorbidities of pediatric epilepsy have historically been understudied, resulting in limited understanding of the scope and specifics of the impairments. Moreover, insufficient availability of mental health providers makes referrals difficult to find or delayed in taking place, obliging the epilepsy clinician to manage the comorbidities in the meantime. This symposium will characterize the cognitive phenotypes of pediatric epilepsy (beyond IQ), delineate the range and prevalence of psychiatric disorders, and provide practical recommendations for the clinician based on recent neuroimaging and outcome studies.
• Identify the range of psychiatric comorbidities evident in pediatric epilepsy and apply knowledge of psychiatric phenotypes to pediatric patients to know what questions to ask to screen for disorders
• Utilize a screening plan to provide initial care, including decisions regarding pharmacological treatment and when to refer to a mental health specialist
• Identify specific cognitive vulnerabilities in children with epilepsy and recognize associated neuroimaging evidence
• Apply knowledge of cognitive phenotypes to provide immediate,
home-based recommendations (e.g., use of technology, internet).
Basic / fundamentals, Intermediate (see page 101 for details)
Co-Chairs: Madison Berl, Ph.D. and Joseph Sullivan, M.D.
Joseph Sullivan, M.D.
Identifying Psychiatric Comorbidities of Pediatric Epilepsy
Elaine C. Wirrell, M.D.
Practical Suggestions for Treating and Monitoring Psychiatric Comorbidities and Pharmacological Interventions
Jay A. Salpekar, M.D.
Cognitive Phenotypes of Pediatric Epilepsy
Bruce P. Hermann, Ph.D.
Practical Suggestions for Cognitive Comorbidities
Madison Berl, Ph.D.