Four-year outcome after early withdrawal of antiepileptic drugs in childhood epilepsy.

Geerts, A T; Niermeijer, J M F; Peters, A C B; Arts, W F M; Brouwer, O F; Stroink, H; Peeters, E A J; van Donselaar, C A · Neurology · 2005

rct · Level II

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Abstract

Four-year follow-up of children with epilepsy included in a randomized trial of early withdrawal of antiepileptic drugs showed that 51% achieved a terminal remission of at least 2 years without medication and 21% with medication; 15% had seizures during the fourth year. Early medication withdrawal is not recommended as standard practice in children with a rapid response to medication. The authors developed a model to predict outcome if withdrawal is considered.

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