How do you manage anti-seizure medications at follow-up in patients who had acute symptomatic seizures due to PRES?

With studies showing rare risk of developing epilepsy after PRES do you just taper medications over the following weeks-months? Any need for outpatient EEG prior to tapering?

1 Answer

Mednet Member

Neurology · Orlando Health

Answered on

Repeat MRI in 6 months to see if there is a resolution of PRES changes.

If resolved and no clinical history concerning for sz then repeat EEG.

If EEG and MRI are negative, with no clinical symptoms then slowly taper of AED.

Also educate the patient while tapering of meds there is risk of sz, (thi...

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