title: Outcome of childhood-onset epilepsy from adolescence to adulthood: Transition issues.
abstract: This is the second of three papers that summarize the second symposium on Transition in Epilepsies held in Paris in June 2016. This paper addresses the outcome for some particularly challenging childhood-onset epileptic disorders with the goal of recommending the best approach to transition. We have grouped these disorders in five categories with a few examples for each. The first group includes disorders presenting in childhood that may have late- or adult-onset epilepsy (metabolic and mitochondrial disorders). The second group includes disorders with changing problems in adulthood (tuberous sclerosis complex, Rett syndrome, Dravet syndrome, and autism). A third group includes epilepsies that change with age (Childhood Absence Epilepsy, Juvenile Myoclonic Epilepsy, West Syndrome, and Lennox-Gastaut syndrome). A fourth group consists of epilepsies that vary in symptoms and severity depending on the age of onset (autoimmune encephalitis, Rasmussen's syndrome). A fifth group has epilepsy from structural causes that are less likely to evolve in adulthood. Finally we have included a discussion about the risk of later adulthood cerebrovascular disease and dementia following childhood-onset epilepsy. A detailed knowledge of each of these disorders should assist the process of transition to be certain that attention is paid to the most important age-related symptoms and concerns.
authors.affiliation: Reference Centre for Rare Epilepsies, Pediatric Neurology, Necker-Enfants Malades University Hospital, APHP, University of Paris Descartes, Inserm U1129, Paris, France. Electronic address: rimanabbout@yahoo.com.
authors.forename: R
authors.initials: R
authors.lastname: Nabbout
authors.affiliation: Department of Medicine, University of Toronto Adult Epilepsy Genetics Program, University of Toronto, Toronto Western Hospital, Toronto, Canada.
authors.forename: D M
authors.initials: DM
authors.lastname: Andrade
authors.affiliation: Embryology and Genetics of Congenital Malformations & Pediatric Neurology, Necker Enfants Malades University Hospital, Paris France.
authors.forename: N
authors.initials: N
authors.lastname: Bahi-Buisson
authors.affiliation: UCL Institute of Child Health, London, UK.
authors.forename: H
authors.initials: H
authors.lastname: Cross
authors.affiliation: Reference Centre for Rare Epilepsies, Pediatric Neurology, Necker-Enfants Malades University Hospital, APHP, University of Paris Descartes, Inserm U1129, Paris, France.
authors.forename: I
authors.initials: I
authors.lastname: Desquerre
authors.affiliation: Department of Pediatric Neuroscience, Foundation I.R.C.C.S. Neurological Institute C. Besta, Milan, Italy.
authors.forename: O
authors.initials: O
authors.lastname: Dulac
authors.affiliation: Department of Pediatric Neuroscience, Foundation I.R.C.C.S. Neurological Institute C. Besta, Milan, Italy.
authors.forename: T
authors.initials: T
authors.lastname: Granata
authors.affiliation: Service de Neurologie, Hôpital de Hautepierre, Strasbourg, France.
authors.forename: E
authors.initials: E
authors.lastname: Hirsch
authors.affiliation: GH Pitie-Salpêtrière-Charles Foix, Epilepsy Unit and Department of Clinical Neurophysiology, Institut du Cerveau et de la Moelle, Paris, France.
authors.forename: V
authors.initials: V
authors.lastname: Navarro
authors.affiliation: Reference Centre for Rare Epilepsies, Pediatric Neurology, Necker-Enfants Malades University Hospital, APHP, University of Paris Descartes, Inserm U1129, Paris, France.
authors.forename: L
authors.initials: L
authors.lastname: Ouss
authors.affiliation: Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA, United States.
authors.forename: P L
authors.initials: PL
authors.lastname: Pearl
authors.affiliation: Epilepsy Research Group, Free University of Berlin, Berlin, Germany.
authors.forename: D
authors.initials: D
authors.lastname: Schmidt
authors.affiliation: Director, Pediatric Epilepsy Program and Herscot Center for TSC, Massachusetts General Hospital, Boston, MA, United States.
authors.forename: E
authors.initials: E
authors.lastname: Thiele
authors.affiliation: Dalhousie University, IWK Health Centre, Halifax, Nova Scotia, Canada.
authors.forename: P R
authors.initials: PR
authors.lastname: Camfield
authors.affiliation: Dalhousie University, IWK Health Centre, Halifax, Nova Scotia, Canada.
authors.forename: C S
authors.initials: CS
authors.lastname: Camfield
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003226:Congresses as Topic; D004660:Encephalitis / Q000175:diagnosis / Q000628:therapy; D004827:Epilepsy / Q000175:diagnosis* / Q000628:therapy*; D004832:Epilepsy, Absence / Q000175:diagnosis / Q000628:therapy; D050031:Hashimoto Disease / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007223:Infant; D020190:Myoclonic Epilepsy, Juvenile / Q000175:diagnosis / Q000628:therapy; D015518:Rett Syndrome / Q000175:diagnosis / Q000628:therapy; D013036:Spasms, Infantile / Q000175:diagnosis / Q000628:therapy; D060305:Transition to Adult Care / Q000639:trends*; D016896:Treatment Outcome; D014402:Tuberous Sclerosis / Q000175:diagnosis / Q000628:therapy; D055815:Young Adult
keywords: Adolescence; Epilepsy; Outcome; Transition