Electrical Status Epilepticus in Sleep

Overview

4.4 out of 5 (8 Reviews)

Credits

1.00

Post Assessment Questions

5

Start Date

1 Sep 2023

Last Review Date

2 Sep 2024

Expiration Date

31 Aug 2026

Estimated Time To Finish

60 Minutes


 
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Activity Description

Electrical status epilepticus in sleep (ESES) is a pediatric epileptic encephalopathy characterized by cognitive regression and significant activation of epileptiform activity during non-rapid eye movement sleep, resulting in an electroencephalography pattern marked by nearly continuous spike-wave discharges. The condition typically affects children between the ages of 2 and 12, with a peak incidence between 3 and 5 years. ESES is associated with various etiologies, which may or may not involve structural brain abnormalities. Clinically, affected children often present with infrequent seizures, either focal or generalized, and experience stagnation or regression in their developmental progress. The current treatment approach includes the use of traditional antiepileptic drugs, such as benzodiazepines and corticosteroids, as well as other therapies like epilepsy surgery, intravenous immunoglobulin, and the ketogenic diet.

Participants in this activity gain a comprehensive understanding of the evaluation and management of ESES. They learn about the critical importance of early diagnosis and intervention to prevent long-term cognitive decline and improve the quality of life for affected children. The activity emphasizes the value of an interprofessional team approach in managing ESES, where collaboration among neurologists, pediatricians, neuropsychologists, and other healthcare professionals enhances patient outcomes. By integrating knowledge from various specialties, the healthcare team can develop individualized treatment plans that address both the seizure control and cognitive development of the patient, ultimately leading to better clinical outcomes.


Target Audience

This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, nurse practitioners, and social workers.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify the early signs and symptoms of electrical status epilepticus in sleep in patients to facilitate prompt diagnosis and treatment.

  • Assess the effectiveness of treatment plans for patients with electrical status epilepticus in sleep, and adjust them as necessary to optimize patient outcomes.

  • Implement evidence-based treatment strategies, including pharmacologic and non-pharmacologic options, for managing electrical status epilepticus in sleep.

  • Collaborate with an interprofessional team to create and execute individualized treatment plans for children with electrical status epilepticus in sleep.

Disclosures

StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.

Commercial Support: This activity has received NO commercial support.

Continuing Education Accreditation Information

In support of improving patient care, StatPearls, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

 

Physicians and Physician Associates: StatPearls, LLC designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM. Physicians and PAs should only claim credit commensurate with the extent of their participation in the activity.

American Board of Anesthesiology: This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

American Board of Internal Medicine: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

American Board of Pathology: Successful completion of this Continuing Certification activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 Lifelong Learning (CME) credits in the American Board of Pathology’s Continuing Certification Program.

American Board of Pediatrics: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

American Board of Surgery: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Please consult your professional licensing board for information on the applicability and acceptance of continuing education credit for this activity.

Method of Participation and Credit

  1. Register for the activity.    
  2. Review the target audience, learning objectives, and disclosure information.
  3. Study the educational content of the enduring material.
  4. Choose the best answer to each activity test question. To receive credit and a certificate, you must pass the test questions with a minimum score of 100%.
  5. Complete the post-activity assessment survey.

If you have concerns regarding the CE/CME system, please contact support@statpearls.com.

Disclaimer

This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Faculty may discuss investigational products or off-label uses of products regulated by the FDA. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on statpearls.com. StatPearls expressly disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

Unapproved Uses of Drugs/Devices: In accordance with FDA requirements, the audience is advised that information presented in this continuing education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA-approved package insert for each drug/device for full prescribing/utilization information.

Cancellation Policy: Please see the cancellation policy. StatPearls, LLC reserves the right to cancel any course due to unforeseen circumstances.

 

 
 

Reviews

Micheal M. on 12/15/2021

Bibhu Prasad N. on 2/1/2022

Murchana K. on 9/22/2022

Leilani G. on 2/1/2023

Adithya nikhileshwar B. on 8/9/2023

Akshaya K. on 11/6/2023

Nivetha V. on 11/26/2023

Likta N. on 5/17/2024

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