When to treat

• Do we treat a single seizure? The answer varies depending of some factors. If the seizure is not prolonged and testing, including EEG and MRI or CT and negative, then we tend do not treat since the likelihood of a second seizure is less than 50%.

• Do we treat all recurrent epileptic seizures: not all, but most of them. There are some kinds of epilepsy, like for example benign rolandic epilepsy, that we do not recommend treating most of the time since the seizures happen mainly during sleep, are not associated with brain damage and are outgrown by adolescence. However, most recurrent seizures do need to be treated.