• 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.
Wilkinson IA, Murphy JV, Georgeson R, D'Souza BJ. On-site Seizure Clinic: Impact on the Welfare of Mentally Retarded, Institutionalized Patients. Arch Neurol. 1982;39(1):41–43. doi:10.1001/archneur.1982.00510130043010
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