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Abstract Details

An Online Survey of Caregivers of Patients with SCN8A-related epilepsy
Child Neurology and Developmental Neurology
P16 - Poster Session 16 (5:30 PM-6:30 PM)
5-010
To conduct an online survey to better understand the variability in the clinical presentation of SCN8A-related epilepsy. 
SCN8A Developmental & Epileptic Encephalopathy (SCN8A-DEE) is a rare and severe genetic epilepsy syndrome characterized by early onset developmental delay, cognitive impairment and intractable seizures. Variants in the SCN8A gene have also been reported in patients with a broader phenotypic spectrum with varying degrees of severity.

A 36 question online survey was developed to obtain de-identified caregiver-reported data from caregivers of children with SCN8A-related epilepsy, including SCN8A-DEE. The survey investigated demographics, comorbidities, seizure onset and frequency, anti-seizure medication (ASM) use and confidence in seizure counting. Fifty-four caregivers completed the survey; however, the study is still open and collecting additional responses.  

Caregivers reported a variable age of seizure onset, typically within the first months of life. At seizure onset, around a third of patients experienced multiple, daily seizures that were most commonly initially treated with levetiracetam and phenobarbital. Around 50% of caregivers reported a negative effect of treatment with levetiracetam. Age of respondents ranged from infancy to adulthood, with the majority being at least 4 years of age. The current seizure frequency was variable ranging from several per day to seizure freedom in ~25% of the patients. The most frequent currently used ASMs were clobazam and oxcarbazepine. Cognitive impairment, movement disorders, gastrointestinal problems and visual impairment were highly prevalent. Around 60% of caregivers reported they had received training including instruction in seizure recognition by their child’s neurology team, and were highly confident in identifying their child’s seizures. 

SCN8A-related epilepsy is a highly variable disorder. There is no current standard of care and existing therapies appear to have a high failure rate with the majority of patients experiencing continuing intractable seizures. 
Authors/Disclosures
Celene Grayson, PhD (Xenon Pharmaceuticals Inc)
PRESENTER
Dr. Grayson has received personal compensation for serving as an employee of Xenon Pharmaceuticals Inc.. Dr. Grayson has stock in Xenon Pharmaceuticals Inc..
No disclosure on file
Constanza Luzon Constanza Luzon has received personal compensation for serving as an employee of Xenon Pharmaceuticals Inc.. Constanza Luzon has stock in Xenon Pharmaceuticals.
No disclosure on file
Ernesto Aycardi, MD (Kyowa Kirin) Dr. Aycardi has received personal compensation for serving as an employee of XENON. Dr. Aycardi has received stock or an ownership interest from XENON.
Noam Butterfield, PhD (Xenon Pharmaceuticals) Dr. Butterfield has received personal compensation for serving as an employee of Xenon Pharmaceuticals.