Reader Response: Differences in treatment of epilepsy in pregnancy: a worldwide survey
Nitin K.Sethi, Associate Professor of Neurology, New York-Presbyterian Hospital, Weill Cornell Medical Center, New York, NY (U.S.A.)
Published July 04, 2019
I read with interest the results of the worldwide survey on differences in treatment of epilepsy in pregnancy.[1] It is clear from the data that significant differences exist in the approach to treatment of a pregnant woman with epilepsy in high-income versus mid- to low-income countries. In medicine, it is rare that one size fits all. A more practical approach to improving the care of a pregnant woman with epilepsy would be to develop 2 separate guidelines - one applicable to pregnant woman with epilepsy residing in high-income countries and the other applicable to those residing in mid- to low-income countries factoring in variables such as epilepsy infrastructure, availability of different anticonvulsant drugs, educational status, access and cost of medical care.
1. George IC, Bartolini L, Ney J, Singhal D. Differences in treatment of epilepsy in pregnancy: a worldwide survey. Neurol Clin Prac 2019;9:201-207.
For disclosures, please contact the editorial office at ncpjournal@neurology.org.
I read with interest the results of the worldwide survey on differences in treatment of epilepsy in pregnancy.[1] It is clear from the data that significant differences exist in the approach to treatment of a pregnant woman with epilepsy in high-income versus mid- to low-income countries. In medicine, it is rare that one size fits all. A more practical approach to improving the care of a pregnant woman with epilepsy would be to develop 2 separate guidelines - one applicable to pregnant woman with epilepsy residing in high-income countries and the other applicable to those residing in mid- to low-income countries factoring in variables such as epilepsy infrastructure, availability of different anticonvulsant drugs, educational status, access and cost of medical care.
1. George IC, Bartolini L, Ney J, Singhal D. Differences in treatment of epilepsy in pregnancy: a worldwide survey. Neurol Clin Prac 2019;9:201-207.
For disclosures, please contact the editorial office at ncpjournal@neurology.org.