Epilepsy and Cognitive Impairment in Childhood and Adolescence: A
Mini-Review

Francesca   Felicia   Operto; Grazia   Maria Giovanna   Pastorino; Andrea      Viggiano; Giovanni   Battista   Dell'Isola; Gianluca      Dini; Alberto      Verrotti; Giangennaro      Coppola
Abstract

Managing epilepsy in people with an intellectual disability remains a therapeutic challenge and must take into account additional issues such as diagnostic difficulties and frequent drug resistance. Advances in genomic technologies improved our understanding of epilepsy and raised the possibility to develop patients-tailored treatments acting on the key molecular mechanisms involved in the development of the disease. In addition to conventional antiseizure medications (ASMs), ketogenic diet, hormone therapy and epilepsy surgery play an important role, especially in cases of drugresistance. This review aims to provide a comprehensive overview of the mainfactors influencing cognition in children and adolescents with epilepsy and the main therapeutic options available for the epilepsies associated with intellectual disability.
Keywords: Epilepsy, cognitive impairment, intellectual disability, anti-seizure medication, ketogenic diet, ganaxolone, gene therapy.
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Cite As
Current Neuropharmacology

Epilepsy and Cognitive Impairment in Childhood and Adolescence: A Mini-Review

Abstract
