When do you recommend treating stimulus-induced generalized periodic discharges (GPDs)?

If they are on the ictal-interictal continuum (1-2.5 Hz), I would perform an AED trial, but non-aggressive management especially if there is a known metabolic or systemic etiology.

In general, some factors that would suggest a less aggressive more observant approach:

• Generalized discharges
• No "plus...