Paeds Cases · neurology-neurodisability-and-neuromuscular
Counsel a family on a new diagnosis of juvenile myoclonic epilepsy — OSCE
OSCE communication and shared decision-making station: explaining a new diagnosis of juvenile myoclonic epilepsy to a fifteen-year-old girl and her parents, addressing the syndrome and its EEG, the medicine choice and the valproate rule, the lifestyle triggers, the lifelong framing, the comorbidities, and the transition to adult care in plain language.
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You have eight minutes to counsel a fifteen-year-old girl and her parents following a new diagnosis of juvenile myoclonic epilepsy, confirmed by electroencephalogram after a generalised tonic-clonic seizure on waking preceded by morning arm jerks. Use a structured, honest, empathic approach that names the syndrome, explains the medicine choice, addresses the online fears, and builds a shared plan. [6] [8]
References2ShowHide
- [6]Riney K, Bogacz A, Somerville E, et al. International League Against Epilepsy classification and definition of epilepsy syndromes with onset at a variable age: position statement by the ILAE Task Force on Nosology and Definitions. Epilepsia, 2022.PMID 35503725
- [8]Glauser T, Ben-Menachem E, Bourgeois B, et al. Updated ILAE evidence review of antiepileptic drug efficacy and effectiveness as initial monotherapy for epileptic seizures and syndromes. Epilepsia, 2013.PMID 23350722