TY - JOUR T1 - Intractable seizure disorders of childhood JF - Cleveland Clinic Journal of Medicine JO - Cleve Clin J Med SP - 505 LP - 510 VL - 51 IS - 3 AU - A. David Rothner Y1 - 1984/09/21 UR - http://www.ccjm.org/content/51/3/505.abstract N2 - 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. ER -