ABSTRACT
The evaluation of the child with intractable seizures is reviewed. Important in this diagnosis are a review of the history to classify seizures and rule out nonepileptiform conditions; a review of the general physical and neurological examinations to rule out any previously undiagnosed conditions; repeating laboratory studies to make sure no etiologies have been Undiscovered; and the use of multiple therapies, including combinations of antiepileptic drugs, the ketogenic diet, and seizure surgery. Infantile spasms, myoclonic seizures, and complex partial seizures have the most unfavorable prognoses.
- Received December 1983.
- Accepted February 1984.
- Copyright © 1984 The Cleveland Clinic Foundation. All Rights Reserved.