Question
What treatment options are available for pediatric benign epilepsy? Are the side effects of these treatments serious? Which medication is most suitable for a child with epilepsy characterized by right central temporal spikes and spike-wave discharges on EEG?
Answer
Pediatric benign epilepsy is a form of epilepsy that occurs during a specific developmental stage, presents with specific clinical manifestations and EEG features, and can either spontaneously remit or respond well to antiepileptic drug therapy, with a good prognosis. Treatment should be guided by a healthcare provider, adjusting the type and dosage of medication. The principle is to use the least amount of medication and dosage to control seizures. After seizures are controlled, medication should be continued for 2 to 4 years, and then gradually reduced and stopped over 1 to 2 years. It is essential to take medication daily; self-discontinuation or reduction of dosage often leads to seizure recurrence.