PT - JOURNAL ARTICLE AU - A. David Rothner TI - Intractable seizure disorders of childhood DP - 1984 Sep 21 TA - Cleveland Clinic Journal of Medicine PG - 505--510 VI - 51 IP - 3 4099 - http://www.ccjm.org/content/51/3/505.short 4100 - http://www.ccjm.org/content/51/3/505.full SO - Cleve Clin J Med1984 Sep 21; 51 AB - 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.