Keeping people with epilepsy safe during the COVID-19 pandemic
Open accessAbstract
OBJECTIVES: To provide information on the effect of the coronavirus disease of 2019 (COVID-19) pandemic on people with epilepsy and provide consensus recommendations on how to provide the best possible care for people with epilepsy while avoiding visits to urgent care facilities and hospitalizations during the novel coronavirus pandemic. METHODS: The authors developed consensus statements in 2 sections. The first was "How should we/clinicians modify our clinical care pathway for people with epilepsy during the COVID-19 pandemic?" The second was "What general advice should we give to people with epilepsy during this crisis? The authors individually scored statements on a scale of -10 (strongly disagree) to +10 (strongly agree). Five of 11 recommendations for physicians and 3/5 recommendations for individuals/families were rated by all the authors as 7 or above (strongly agree) on the first round of rating. Subsequently, a teleconference was held where statements for which there was a lack of strong consensus were revised. RESULTS: After revision, all consensus recommendations received a score of 7 or above. The recommendations focus on administration of as much care as possible at home to keep people with epilepsy out of health care facilities, where they are likely to encounter COVID-19 (including strategies for rescue therapy), as well as minimization of risk of seizure exacerbation through adherence, and through ensuring a regular supply of medication. We also provide helpful links to additional helpful information for people with epilepsy and health providers. CONCLUSION: These recommendations may help health care professionals provide optimal care to people with epilepsy during the coronavirus pandemic.
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The COVID-19 pandemic has been an additional challenge for patients with epilepsy.
“Studies targeting patients with epilepsy during the COVID-19 pandemic show that the COVID-19 pandemic has been an additional challenge for those who suffer from epilepsy”
From The Psychological Flexibility in Epilepsy Questionnaire (PFEQ): Psychometric properties of the Persian version (2022) · cites this paper as [46]
Patients with epilepsy have less access to medical care due to collapse of healthcare services.
“they have less access to medical care due to collapse of the healthcare services [44–46]”
From The Psychological Flexibility in Epilepsy Questionnaire (PFEQ): Psychometric properties of the Persian version (2022) · cites this paper as [46]
Pandemic-related restrictions create an additional social and psychological burden for patients with epilepsy.
“pandemic-related restrictions create an additional social and psychological burden for patients with epilepsy”
From The Psychological Flexibility in Epilepsy Questionnaire (PFEQ): Psychometric properties of the Persian version (2022) · cites this paper as [46]
Patients with epilepsy may be a high-risk group for developing more severe COVID-19 symptoms.
“they may be high-risk group for developing more severe symptoms with COVID-19”
From The Psychological Flexibility in Epilepsy Questionnaire (PFEQ): Psychometric properties of the Persian version (2022) · cites this paper as [46]
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Evaluation and Treatment of Seizures and Epilepsy During the COVID-19 Pandemic
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Telemedicine Can Support Measurable and High-Quality Epilepsy Care During the COVID-19 Pandemic
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COVID-19 and Child Neurology Care
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- Authors
- French, J. A., Brodie, M. J., Caraballo, R., Devinsky, O., Ding, D., Jehi, L., Jette, N., Kanner, A., Modi, A. C., Newton, C. R., Patel, A. A., Pennell, P. B., Perucca, E., Sander, J. W., Scheffer, I. E., Singh, G., Williams, E., Wilmshurst, J., & Cross, J. H.
- Affiliations
- Cleveland Clinic (US)
- From the Department Neurology (J.A.F.), NYU Grossman School of Medicine New York University, NY; Epilepsy Unit (M.J.B.), International Bureau for Epilepsy, Scottish Epilepsy Initiative, Glasgow, Scotland; Neurology (R.C.), Hospital J P Garrahan, Buenos Aires, AR; Department Neurology (O.D.), NYU Grossman School of Medicine, NY; Institute of Neurology (D.D.), Huashan Hospital, Fudan University, Shanghai, China; Cleveland Clinic Epilepsy Center (L.J.), Cleveland, OH; Department of Neurology (N.J.),...
- ORCID
- Venue
- Neurology
- Published
- 2020-06-09
- Volume
- 94
- Issue
- 23
- Pages
- 1032-1037
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- PMC
- PMC7455365
- OpenAlex
- W3018838468
- Cited by
- 138
- References
- 17
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 6 · 2023: 12 · 2022: 14 · 2021: 45 · 2020: 58 · 2018: 1
- FWCI
- 23.53
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Neurology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Conicet (submittedVersion, cc-by-nc-sa)
- Funders
- March of Dimes Foundation
- Epilepsy Foundation
- Pfizer
- GlaxoSmithKline
- Sanofi
- Biogen
- Patient-Centered Outcomes Research Institute (U24NS107201, IU54NS100064)
- Sunovion
- Vitaflo
- Waterloo Foundation
- Zogenix
- Ultragenyx Pharmaceutical
- GW Pharmaceuticals
- Zynerba Pharmaceuticals
- Amicus Therapeutics
- SK Life Science
- Springworks Therapeutics
- National Institute for Health and Care Research (NF-SI-0515-10073)
- Epilepsy Research UK
- University College London
- Great Ormond Street Hospital Charity
- Eisai
- Otsuka Pharmaceutical
- H. Lundbeck A/S
- Sun Pharma
- Epilepsiatutkimussäätiö
- Idorsia Pharmaceuticals
- Epilepsy Society
- Intas Pharmaceuticals
- Arvelle Therapeutics
- National Institutes of Health (IU54NS100064)
- Medical Research Council
- Engineering and Physical Sciences Research Council
- National Health and Medical Research Council
- Health Research Council of New Zealand
- National Institute of Nursing Research
- National Institute of Diabetes and Digestive and Kidney Diseases
- National Institute of Neurological Disorders and Stroke (NIH U24NS107201, IU54NS100064, U24NS107201, NIH IU54NS100064)
- UCB Pharma
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
- Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- epilepsy, COVID-19 pandemic, care pathways, telemedicine, home care, salvage therapy, drug supply, seizure exacerbation, consensus recommendations
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, Epilepsy, Humans, Pneumonia, Viral, Coronavirus Infections, Pandemics
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