Question

After a child suffered from epilepsy following a high fever at one year old, although the frequency of seizures decreased after three years of medication treatment, there is a significant delay in intellectual development, and parents are worried about whether it can be recovered.

Answer

In the treatment of epilepsy with antiepileptic drugs, it is advisable to first try monotherapy until the effective dose or the maximum tolerated dose is reached. If a single drug is ineffective, consider combination therapy with drug combinations that have different mechanisms of action and minimal drug interactions to achieve the best therapeutic effect and the lowest economic burden.