Paeds Cases · neurology-neurodisability-and-neuromuscular
Counsel a family on starting levetiracetam for newly diagnosed focal epilepsy — OSCE
OSCE communication and shared decision-making station: explaining the selection, titration and adverse-effect monitoring of levetiracetam to the family of a ten-year-old boy with newly diagnosed focal epilepsy, addressing the behavioural adverse effects, the favourable interaction profile, the monitoring schedule, and the principle of syndrome-driven selection in plain language.
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You have eight minutes to counsel the parents of a ten-year-old boy with newly diagnosed focal epilepsy, confirmed by EEG and MRI, for whom levetiracetam has been recommended as the first-choice medicine. Use a structured, honest, empathic approach that explains why this drug was selected, addresses the online fears, outlines the adverse effects to watch for, and builds a shared monitoring plan. [1] [5]
References3ShowHide
- [1]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
- [5]Perucca P, Gilliam FG. Adverse effects of antiepileptic drugs. Lancet Neurol, 2012.PMID 22832500
- [9]Jones KEA, Howells R, Mallick AA, et al. NICE guideline review: Epilepsies in children, young people and adults NG217. Arch Dis Child Educ Pract Ed, 2023.PMID 37339862