ABPN Epilepsy case studies
ABPN Epilepsy · Put your knowledge to work in context.
The ABPN Epilepsy subspecialty certification is a board credential offered by the American Board of Psychiatry and Neurology, a member board of the American Board of Medical Specialties, for physicians who have completed the requisite training in epilepsy and wish to demonstrate subspecialty competence. ABPN has been setting certification standards for psychiatrists and neurologists since 1934, and its subspecialty certificates are verifiable by the public and credentialers through the ABPN verifyCERT® system. The ABPN Epilepsy case studies are 5 cases and about 2,351 words.
1First Seizure in a Patient on Enzyme-Inducing Therapy
A 47-year-old man with a history of a right frontal lobe resection for a low-grade glioma 3 years ago (no tumor recurrence on surveillance MRI 2 months ago) presents after a witnessed generalized tonic-clonic seizure lasting about 90 seconds. He had no prior seizures and has been seizure-free since surgery without anticonvulsants.
609 words, about 3 min2Status Epilepticus Refractory to Benzodiazepines in a Patient with Renal Failure
A 62-year-old woman with end-stage renal disease on hemodialysis presents with 25 minutes of continuous generalized convulsive activity. Paramedics gave midazolam 10 mg IM and then lorazepam 4 mg IV without cessation.
459 words, about 2 min3New-Onset Focal Seizures in a Pregnant Patient
A 29-year-old woman, G1P0 at 22 weeks gestation, presents with two episodes of right arm jerking spreading to the face with preserved awareness, each lasting about 40 seconds, over the past 10 days. She has no prior seizure history.
411 words, about 2 min4Drug-Resistant Focal Epilepsy: When to Refer for Surgery
A 34-year-old man has had focal impaired-awareness seizures since age 12, now occurring 3–4 times per month. He has failed adequate trials of levetiracetam (3000 mg/day), lamotrigine (400 mg/day), and oxcarbazepine (1800 mg/day), each for at least 3 months at tolerated doses, with continued seizures.
433 words, about 2 min5Nonconvulsive Status Epilepticus Masquerading as Delirium
An 78-year-old woman with hypertension and mild vascular cognitive impairment is admitted for 'confusion' after a fall. She is drowsy, intermittently muttering, and does not follow commands, fluctuating over 12 hours.
439 words, about 2 min