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On-site Seizure ClinicImpact on the Welfare of Mentally Retarded, Institutionalized Patients
Ian A. Wilkinson, MD, FRACP;
Jerome V. Murphy, MD;
Russell Georgeson;
Bernard J. D'Souza, MD
Arch Neurol. 1982;39(1):41-43.
Abstract
• A weekly seizure clinic was established at an institution for patients with mental retardation. After two years, a study demonstrated the following significant changes in clinic patients: (1) a reduction in the practice of anticonvulsant polypharmacy; (2) a reduction in the frequency of administration of anticonvulsant drugs; (3) a greater number of drugs whose serum concentration was appropriate; (4) a reduction in the use of psychotropic drugs; (5) weight gain; (6) diminished injuries; and (7) a fourfold increase in drug costs. These changes were not seen previously, when the patients were examined at a distant neurology clinic.
Author Affiliations
From the Departments of Neurology, Medical College of Wisconsin, Milwaukee, and Milwaukee Children's Hospital (Drs Wilkinson and Murphy); Southern Wisconsin Center for the Developmentally Disabled, Union Grove (Dr Georgeson); and the Department of Neurology, Johns Hopkins Hospital, Baltimore (Dr D'Souza).
Footnotes
Accepted for publication March 29, 1981.
Reprint requests to Department of Neurology, Milwaukee Children's Hospital, PO Box 1997, Milwaukee, WI 53201 (Dr Murphy).
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