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- W2285937087 abstract "The epilepsies are common. Approximately 70% of patients will attain freedom from seizures for at least 5 years. Those destined to remit usually do so in the first few years after presentation. The anti-epileptic drugs (AEDs) do not alter the course of epilepsy and are therefore symptomatic treatment only. For patients with focal epilepsy with or without secondary generalisation, there are no clear differences in efficacy between all of the AEDs, except ethosuximide (used only for absence seizures). The newer generation AEDs have not reduced the burden of patients with medically refractory seizures. Medically refractory seizures usually impair quality of life substantially, increase mortality and result in considerable direct and indirect costs to society. Early referral of patients with medically refractory seizures is required if patients with non-epileptic seizures are to be identified to prevent unnecessary, prolonged treatment with AEDs and if patients with epilepsy are to gain the most from epilepsy surgery. Epilepsy surgery is an effective treatment option for some patients who have medically refractory epilepsy. Surgery is usually offered when risks of the procedure are low." @default.
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- W2285937087 date "2006-09-01" @default.
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- W2285937087 title "Management of refractory epilepsy : main article" @default.
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