Antiseizure medication withdrawal risk estimation and recommendations: A survey of American Academy of Neurology and EpiCARE members.
Samuel W TermanRenate van GriethuysenCarole E RheaumeGeertruida SlingerAnisa S HaqueShawna N SmithWesley T KerrCharlotte van AschWillem M OtteCarolina Ferreira-AtuestaMarian GalovicJames F BurkeKees P J BraunPublished in: Epilepsia open (2023)
Clinicians overestimated the influence of abnormal EEGs particularly for low-risk patients and overestimated risk and the influence of seizure-free duration for surgical patients, compared with calculators. These data may question widespread ordering of EEGs or time-based seizure-free thresholds for surgical patients. Viewing calculated predictions reduced willingness to withdraw particularly without epileptiform abnormalities.