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Brief ReportBrief Communication
Open Access

Saudi Epilepsy Society consensus on epilepsy management during the COVID-19 Pandemic

Faisal Alotaibi, Ziyad Althani, Danah Aljaafari, Haythum O. Tayeb, Duaa Baarmah, Norah Aljalal, Osama Muthaffar, Khalid Alqulaiti, Majed Alhameed, Baleegh Ali, Shireen Qureshi and Raidah Albaradie
Neurosciences Journal July 2020, 25 (3) 222-225; DOI: https://doi.org/10.17712/nsj.2020.3.20200066
Faisal Alotaibi
From the Department of Neuroscience (Alotaibi), King Faisal Specialist Hospital and Research Centre, from Divisions of Neurology (Baarmah), Department of Pediatrics, King Abdullah Specialized Children Hospital, Ministry of National Guard, from the Department of Neurology (Alhameed), National Neuroscience Institute, King Fahad Medical City, and from the Department of Pediatric Neurology (Ali), King Saud Medical City, Riyadh, Neuroscience Center (Althani), King Fahad Specialist Hospital, Neuroscience Center (Althani), King Fahad Specialist Hospital, Department of Neurology (Aljaafari), College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, College of Medicine (Tayeb), Department of Pediatrics (Muthaffar), King Abdulaziz University, Jeddah, College of Medicine (Alqulaiti), Taibah University, Madinah Al-Munawarah, Kingdom of Saudi Arabia.
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  • For correspondence: [email protected]
Ziyad Althani
From the Department of Neuroscience (Alotaibi), King Faisal Specialist Hospital and Research Centre, from Divisions of Neurology (Baarmah), Department of Pediatrics, King Abdullah Specialized Children Hospital, Ministry of National Guard, from the Department of Neurology (Alhameed), National Neuroscience Institute, King Fahad Medical City, and from the Department of Pediatric Neurology (Ali), King Saud Medical City, Riyadh, Neuroscience Center (Althani), King Fahad Specialist Hospital, Neuroscience Center (Althani), King Fahad Specialist Hospital, Department of Neurology (Aljaafari), College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, College of Medicine (Tayeb), Department of Pediatrics (Muthaffar), King Abdulaziz University, Jeddah, College of Medicine (Alqulaiti), Taibah University, Madinah Al-Munawarah, Kingdom of Saudi Arabia.
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Danah Aljaafari
From the Department of Neuroscience (Alotaibi), King Faisal Specialist Hospital and Research Centre, from Divisions of Neurology (Baarmah), Department of Pediatrics, King Abdullah Specialized Children Hospital, Ministry of National Guard, from the Department of Neurology (Alhameed), National Neuroscience Institute, King Fahad Medical City, and from the Department of Pediatric Neurology (Ali), King Saud Medical City, Riyadh, Neuroscience Center (Althani), King Fahad Specialist Hospital, Neuroscience Center (Althani), King Fahad Specialist Hospital, Department of Neurology (Aljaafari), College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, College of Medicine (Tayeb), Department of Pediatrics (Muthaffar), King Abdulaziz University, Jeddah, College of Medicine (Alqulaiti), Taibah University, Madinah Al-Munawarah, Kingdom of Saudi Arabia.
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Haythum O. Tayeb
From the Department of Neuroscience (Alotaibi), King Faisal Specialist Hospital and Research Centre, from Divisions of Neurology (Baarmah), Department of Pediatrics, King Abdullah Specialized Children Hospital, Ministry of National Guard, from the Department of Neurology (Alhameed), National Neuroscience Institute, King Fahad Medical City, and from the Department of Pediatric Neurology (Ali), King Saud Medical City, Riyadh, Neuroscience Center (Althani), King Fahad Specialist Hospital, Neuroscience Center (Althani), King Fahad Specialist Hospital, Department of Neurology (Aljaafari), College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, College of Medicine (Tayeb), Department of Pediatrics (Muthaffar), King Abdulaziz University, Jeddah, College of Medicine (Alqulaiti), Taibah University, Madinah Al-Munawarah, Kingdom of Saudi Arabia.
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Duaa Baarmah
From the Department of Neuroscience (Alotaibi), King Faisal Specialist Hospital and Research Centre, from Divisions of Neurology (Baarmah), Department of Pediatrics, King Abdullah Specialized Children Hospital, Ministry of National Guard, from the Department of Neurology (Alhameed), National Neuroscience Institute, King Fahad Medical City, and from the Department of Pediatric Neurology (Ali), King Saud Medical City, Riyadh, Neuroscience Center (Althani), King Fahad Specialist Hospital, Neuroscience Center (Althani), King Fahad Specialist Hospital, Department of Neurology (Aljaafari), College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, College of Medicine (Tayeb), Department of Pediatrics (Muthaffar), King Abdulaziz University, Jeddah, College of Medicine (Alqulaiti), Taibah University, Madinah Al-Munawarah, Kingdom of Saudi Arabia.
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Norah Aljalal
From the Department of Neuroscience (Alotaibi), King Faisal Specialist Hospital and Research Centre, from Divisions of Neurology (Baarmah), Department of Pediatrics, King Abdullah Specialized Children Hospital, Ministry of National Guard, from the Department of Neurology (Alhameed), National Neuroscience Institute, King Fahad Medical City, and from the Department of Pediatric Neurology (Ali), King Saud Medical City, Riyadh, Neuroscience Center (Althani), King Fahad Specialist Hospital, Neuroscience Center (Althani), King Fahad Specialist Hospital, Department of Neurology (Aljaafari), College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, College of Medicine (Tayeb), Department of Pediatrics (Muthaffar), King Abdulaziz University, Jeddah, College of Medicine (Alqulaiti), Taibah University, Madinah Al-Munawarah, Kingdom of Saudi Arabia.
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Osama Muthaffar
From the Department of Neuroscience (Alotaibi), King Faisal Specialist Hospital and Research Centre, from Divisions of Neurology (Baarmah), Department of Pediatrics, King Abdullah Specialized Children Hospital, Ministry of National Guard, from the Department of Neurology (Alhameed), National Neuroscience Institute, King Fahad Medical City, and from the Department of Pediatric Neurology (Ali), King Saud Medical City, Riyadh, Neuroscience Center (Althani), King Fahad Specialist Hospital, Neuroscience Center (Althani), King Fahad Specialist Hospital, Department of Neurology (Aljaafari), College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, College of Medicine (Tayeb), Department of Pediatrics (Muthaffar), King Abdulaziz University, Jeddah, College of Medicine (Alqulaiti), Taibah University, Madinah Al-Munawarah, Kingdom of Saudi Arabia.
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Khalid Alqulaiti
From the Department of Neuroscience (Alotaibi), King Faisal Specialist Hospital and Research Centre, from Divisions of Neurology (Baarmah), Department of Pediatrics, King Abdullah Specialized Children Hospital, Ministry of National Guard, from the Department of Neurology (Alhameed), National Neuroscience Institute, King Fahad Medical City, and from the Department of Pediatric Neurology (Ali), King Saud Medical City, Riyadh, Neuroscience Center (Althani), King Fahad Specialist Hospital, Neuroscience Center (Althani), King Fahad Specialist Hospital, Department of Neurology (Aljaafari), College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, College of Medicine (Tayeb), Department of Pediatrics (Muthaffar), King Abdulaziz University, Jeddah, College of Medicine (Alqulaiti), Taibah University, Madinah Al-Munawarah, Kingdom of Saudi Arabia.
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Majed Alhameed
From the Department of Neuroscience (Alotaibi), King Faisal Specialist Hospital and Research Centre, from Divisions of Neurology (Baarmah), Department of Pediatrics, King Abdullah Specialized Children Hospital, Ministry of National Guard, from the Department of Neurology (Alhameed), National Neuroscience Institute, King Fahad Medical City, and from the Department of Pediatric Neurology (Ali), King Saud Medical City, Riyadh, Neuroscience Center (Althani), King Fahad Specialist Hospital, Neuroscience Center (Althani), King Fahad Specialist Hospital, Department of Neurology (Aljaafari), College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, College of Medicine (Tayeb), Department of Pediatrics (Muthaffar), King Abdulaziz University, Jeddah, College of Medicine (Alqulaiti), Taibah University, Madinah Al-Munawarah, Kingdom of Saudi Arabia.
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Baleegh Ali
From the Department of Neuroscience (Alotaibi), King Faisal Specialist Hospital and Research Centre, from Divisions of Neurology (Baarmah), Department of Pediatrics, King Abdullah Specialized Children Hospital, Ministry of National Guard, from the Department of Neurology (Alhameed), National Neuroscience Institute, King Fahad Medical City, and from the Department of Pediatric Neurology (Ali), King Saud Medical City, Riyadh, Neuroscience Center (Althani), King Fahad Specialist Hospital, Neuroscience Center (Althani), King Fahad Specialist Hospital, Department of Neurology (Aljaafari), College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, College of Medicine (Tayeb), Department of Pediatrics (Muthaffar), King Abdulaziz University, Jeddah, College of Medicine (Alqulaiti), Taibah University, Madinah Al-Munawarah, Kingdom of Saudi Arabia.
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Shireen Qureshi
From the Department of Neuroscience (Alotaibi), King Faisal Specialist Hospital and Research Centre, from Divisions of Neurology (Baarmah), Department of Pediatrics, King Abdullah Specialized Children Hospital, Ministry of National Guard, from the Department of Neurology (Alhameed), National Neuroscience Institute, King Fahad Medical City, and from the Department of Pediatric Neurology (Ali), King Saud Medical City, Riyadh, Neuroscience Center (Althani), King Fahad Specialist Hospital, Neuroscience Center (Althani), King Fahad Specialist Hospital, Department of Neurology (Aljaafari), College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, College of Medicine (Tayeb), Department of Pediatrics (Muthaffar), King Abdulaziz University, Jeddah, College of Medicine (Alqulaiti), Taibah University, Madinah Al-Munawarah, Kingdom of Saudi Arabia.
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Raidah Albaradie
From the Department of Neuroscience (Alotaibi), King Faisal Specialist Hospital and Research Centre, from Divisions of Neurology (Baarmah), Department of Pediatrics, King Abdullah Specialized Children Hospital, Ministry of National Guard, from the Department of Neurology (Alhameed), National Neuroscience Institute, King Fahad Medical City, and from the Department of Pediatric Neurology (Ali), King Saud Medical City, Riyadh, Neuroscience Center (Althani), King Fahad Specialist Hospital, Neuroscience Center (Althani), King Fahad Specialist Hospital, Department of Neurology (Aljaafari), College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, College of Medicine (Tayeb), Department of Pediatrics (Muthaffar), King Abdulaziz University, Jeddah, College of Medicine (Alqulaiti), Taibah University, Madinah Al-Munawarah, Kingdom of Saudi Arabia.
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    Figure 1

    Regular epilepsy service restart roadmap during and after COVID-19 pandemic.

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    Table 1

    Prioritization of medical care based on clinical category during COVID-19 pandemic.

    Clinical CategoryPriorityTime frame for medical careComments
    Status epilepticusAEmergency
    Acute repetitive seizuresAEmergency
    Unprovoked first-time seizureB1–7 days
    Provoked first time seizureB1–7 days
    Breakthrough seizure in known epilepsy patient (changed from baseline)B1–7 days
    Breakthrough seizure in known epilepsy patient (unchanged from baseline)C7–30 days
    Complex febrile seizuresC7–30 days
    First time simple febrile seizureC7–30 days
    Known simple febrile seizuresD> 30 daysRegular clinical follow up
    Known controlled epilepsy D> 30 daysRegular clinical follow up
    • A - Potential Life-Threatening Condition

    • B - Urgent but not life-threatening condition

    • C - Not urgent but near future clinic visit is required

    • D - Not urgent and for regular clinic future visit

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Neurosciences Journal: 25 (3)
Neurosciences Journal
Vol. 25, Issue 3
1 Jul 2020
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Saudi Epilepsy Society consensus on epilepsy management during the COVID-19 Pandemic
Faisal Alotaibi, Ziyad Althani, Danah Aljaafari, Haythum O. Tayeb, Duaa Baarmah, Norah Aljalal, Osama Muthaffar, Khalid Alqulaiti, Majed Alhameed, Baleegh Ali, Shireen Qureshi, Raidah Albaradie
Neurosciences Journal Jul 2020, 25 (3) 222-225; DOI: 10.17712/nsj.2020.3.20200066

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Saudi Epilepsy Society consensus on epilepsy management during the COVID-19 Pandemic
Faisal Alotaibi, Ziyad Althani, Danah Aljaafari, Haythum O. Tayeb, Duaa Baarmah, Norah Aljalal, Osama Muthaffar, Khalid Alqulaiti, Majed Alhameed, Baleegh Ali, Shireen Qureshi, Raidah Albaradie
Neurosciences Journal Jul 2020, 25 (3) 222-225; DOI: 10.17712/nsj.2020.3.20200066
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    • Epilepsy care priorities during the COVID-19 pandemic
    • Clinical follow-Up visits and telemedicine
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    • Epilepsy and the risk of COVID-19
    • Antiepileptic medication interactions with drugs used for COVID-19
    • Epilepsy monitoring and the Epilepsy Monitoring Unit
    • Electrophysiology monitoring of COVID-19 patients
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    • Roadmap for resumption of full epilepsy service during and after COVID-19 pandemic
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