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What makes seizures more likely to return?

ANSWER

Seizures are more likely to return if you have:

  • Had epilepsy for a long time
  • Had many or multiple types of seizures
  • Get seizures despite medication
  • Needed more than one medication to be seizure-free, or had to take medication for a long time before it began to work
  • Tried to stop unsuccessfully in the past
  • An abnormal neurologic exam or brain damage
  • An IQ less than 70
  • An abnormal EEG within the past year
  • Worsening EEG results when you don't take medication

SOURCES:

Mayo Clinic: "Epilepsy: Treatment."

Current Treatment Options in Neurology : "Stopping Antiepileptic Drugs: When and Why?"

The Cochrane Database of Systematic Reviews : "Early versus late antiepileptic drug withdrawal for people with epilepsy in remission."

Seizure : "Effects of levetiracetam monotherapy on sperm parameters and sex hormones: Data from newly diagnosed patients with epilepsy," "Stopping epilepsy treatment in seizure remission: Good or bad or both?"

BMC Medicine: "Comparative safety of anti-epileptic drugs during pregnancy: a systematic review and network meta-analysis of congenital malformations and prenatal outcomes."

Pediatric Annals: "Antiepileptic drugs -- a review."

Neurology India : "Stopping antiepileptic drugs in patients with epilepsy in remission: Why, When and How?"

Merck Manual: "Seizure Disorders."

Neurologic Clinics : "Starting, Choosing, Changing, and Discontinuing Drug Treatment for Epilepsy Patients."

Reviewed by Neil Lava on August 01, 2017

SOURCES:

Mayo Clinic: "Epilepsy: Treatment."

Current Treatment Options in Neurology : "Stopping Antiepileptic Drugs: When and Why?"

The Cochrane Database of Systematic Reviews : "Early versus late antiepileptic drug withdrawal for people with epilepsy in remission."

Seizure : "Effects of levetiracetam monotherapy on sperm parameters and sex hormones: Data from newly diagnosed patients with epilepsy," "Stopping epilepsy treatment in seizure remission: Good or bad or both?"

BMC Medicine: "Comparative safety of anti-epileptic drugs during pregnancy: a systematic review and network meta-analysis of congenital malformations and prenatal outcomes."

Pediatric Annals: "Antiepileptic drugs -- a review."

Neurology India : "Stopping antiepileptic drugs in patients with epilepsy in remission: Why, When and How?"

Merck Manual: "Seizure Disorders."

Neurologic Clinics : "Starting, Choosing, Changing, and Discontinuing Drug Treatment for Epilepsy Patients."

Reviewed by Neil Lava on August 01, 2017

NEXT QUESTION:

How will I know if I should stop taking my epilepsy medicine?

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