Peers & Perspectives

2 experts are featured in this series.

M. Scott Perry, MD, and James Wheless, BScPharm, MD, FAAP, FACP, FAAN, FAES, FCNS, discuss how early genetic testing for SCN1A variants enables prompt diagnosis of Dravet syndrome, allowing clinicians to optimize treatment with newer targeted therapies such as stiripentol, fenfluramine, and cannabidiol, while avoiding contraindicated sodium channel blockers to improve seizure control and long-term outcomes.

2 experts in this video

W. Chris Winter, MD, and Margaret Park, MD, discuss how excessive daytime sleepiness in patients with obstructive sleep apnea is often underdiagnosed due to cultural normalization of fatigue and patient rationalization of symptoms, requiring clinicians to actively screen for sleepiness as a vital sign and consider FDA-approved wake-promoting medications like modafinil, armodafinil, and solriamfetol for those with residual sleepiness despite effective continuous positive airway pressure therapy.

Daniel Kremens, MD, JD; and Robert Hauser, MD, MBA, discuss how recent advancements in Parkinson disease therapies, including new extended-release formulations and subcutaneous pumps, may impact dyskinesia management, while exploring treatment strategies for patients with troublesome dyskinesia through clinical case examples.

2 experts in this video

Gabriel Pardo, MD, and Martin Belkin, DO, discuss how multiple sclerosis (MS) management now centers on detecting and mitigating progression independent of relapse activity (PIRA) through advanced biomarkers, early intervention, and personalized high-efficacy therapies targeting neurological preservation.

Elizabeth Thiele, MD, PhD, and Peter Crino, MD, PhD, discuss the diagnosis and management of tuberous sclerosis complex (TSC) as well as unmet needs in the field.

Experts in neurology Laxman Bahroo, DO and Mindy K. Bixby, DO share insights into the diagnosis, management, and treatment of OFF episodes in Parkinson’s disease and highlight key therapeutic options currently available and in development.

Phyllis Zee, MD, PhD, and Alon Avidan, MD, MPH, provide an overview of behavioral and pharmacological approaches to the management of excessive daytime sleepiness (EDS) and narcolepsy and discuss the recent approval of agents with new mechanisms of action.