HIGHLIGHTS
SUMMARY
Up to 70% will remain seizure-free even off ASMs, ASM discontinuation can improve key patient-centered outcomes such as mood and cognition, and this is a population at low risk for sudden unexpected death in epilepsy (27-times less common in patients without a convulsion in the last year compared with a baseline of ~ 1 per 1000 person-years ). For instance, single-center work found that only one-third of seizure-free patients reported their physician had even mentioned the possibility of ASM discontinuation suggesting that discontinuation attempts may be too rare. The . . .
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