Does Missing Medication Acutely Change Seizure Risk? A Prospective Study

Among individuals with frequent, drug-resistant epilepsy, occasional missed ASM doses did not measurably raise immediate seizure risk. Whereas sustained nonadherence remains a clinical concern, clinicians may reassure patients that infrequent brief lapses are unlikely to trigger seizures acutely, yet they should continue emphasizing overall adherence for long-term seizure control. ANN NEUROL 2026;99:1076-1082.

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Publication Details

Journal
Annals of Neurology
Published
2026-01-05
DOI
https://doi.org/10.1002/ana.78134
Primary Topic
Epilepsy research and treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Does Missing Medication Acutely Change Seizure Risk? A Prospective Study

Daniel M. Goldenholz, Joshua C. Cheng, Robert Moss, Chi‐Yuan Chang et al.
Annals of Neurology
Epilepsy research and treatment
article

Does Missing Medication Acutely Change Seizure Risk? A Prospective Study

Daniel M. Goldenholz, Joshua C. Cheng, Robert Moss, Chi‐Yuan Chang, M. Brandon Westover
article en

Abstract

Among individuals with frequent, drug-resistant epilepsy, occasional missed ASM doses did not measurably raise immediate seizure risk. Whereas sustained nonadherence remains a clinical concern, clinicians may reassure patients that infrequent brief lapses are unlikely to trigger seizures acutely, yet they should continue emphasizing overall adherence for long-term seizure control. ANN NEUROL 2026;99:1076-1082.

Annals of NeurologyVol. 99(4)
Beth Israel Deaconess Medical Center (US), Harvard University (US), College Track (US)
Openalex Percentile: Top 96%
Epilepsy research and treatment
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