A structured, multi-disciplinary approach for the management of epilepsy for people with intellectual disabilities.

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Authors
Tittensor, Phil
Rowe, Jacqui
Youssef, Carla
Manfredonia, Francesco
Issue Date
2020-10-17
Journal
Type
Service Development
Service Evaluation
Peer-Reviewed Publication
Keywords
Epilepsy
Epilepsy
Intellectual disability
Learning disability
Seizures
Cannock Chase Hospital
Wolverhampton
South East Staffordshire
Black Country
Royal Wolverhampton NHS Trust
Midlands Partnership NHS Trust
Black Country Health NHS Foundation Trust
South East Staffordshire
Comorbidity
Outcomes
Long term conditions
Journal Title
Epilepsy Professional
Volume
57
Issue
Summer
Begin page
16
End page
21
DOI
Abstract
The management of epilepsy in people with intellectual disability is often challenging and complex. Seizure freedom is more difficult to achieve in this population, and in the long-term, specialist support is likely to be needed. While the majority of people with ID and epilepsy will be well managed in either neurology or ID services, there are a number who need the expertise of both services. Given the significant interplay between comorbidities commonly associated with intellectual disability and epilepsy, we believe that best practice is to develop joint clinics and close working relationships between the CLDT and Department of Neurology. Further study is required to examine outcomes for people with intellectual disability served by neurology services alone, intellectual disability services alone and a joint service such as that which is described in this article.
Citation
Tittensor, P Rowe, J Youssef C Manfredonia F Baker S Varghese S A structured, multi-disciplinary approach for the management of epilepsy for people with intellectual disabilities. Epilepsy Professional 57 Summer 2020. pp. 16-21