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Epilepsy in Remission 

Epilepsy in Remission
Chapter:
Epilepsy in Remission
Author(s):

Jerry J. Shih

DOI:
10.1093/med/9780199659043.003.0024
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date: 26 June 2022

The question of whether a person with epilepsy will go into remission is arguably the single most important question patients and families have for their treating physicians. This topic has been the subject of numerous studies over the past 50 years. Population-based studies have fairly consistently shown that 60-80% of patients diagnosed with a new onset seizure disorder will achieve seizure remission in their lifetime. However, any discussion on seizure remission needs to take into account patient demographics and the etiology of the seizure disorder. Certain epilepsy syndromes are associated with an excellent prognosis for seizure remission, while others are linked with a high likelihood of active or recurrent seizure activity. This chapter will review seizure remission rates by age group, select epilepsy syndromes, and the clinical circumstance of medically refractory epilepsy. Positive and negative predictors of seizure freedom will be discussed.

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