Provincial Guidelines For The Management of Epilepsy in Adults and Children

Provincial Guidelines for the Management of Epilepsy in Adults and Children is the result of a collaborative effort between CCSO, the Epilepsy Implementation Task Force (EITF), and Provincial Neurosurgery Ontario (PNO). The Guidelines included in this document have been developed by a sub-group of the Epilepsy Implementation Task Force for any health care provider engaged in the care of patients with epilepsy before referral to surgery. The guidelines are based on current processes and represent expectations for the highest standards of epilepsy care.

Epilepsy  affects  around  95,000  Ontarians,  of  whom  approximately  80,000  are  adults  and  over  15,000 are  children  under  the  age  of  18  (Institute  for  Clinical  and Evaluative  Sciences  [ICES]  &  Ontario  Brain Institute[OBI], in press). While most individuals with epilepsy can be treated effectively by a primary care physician or general neurologist, an estimated 30% of those diagnosed have medically refractory epilepsy, experiencing seizures that do not respond to treatment with two or more appropriate antiepileptic drugs (Kwan & Brodie, 2000).