Question

Seizures with whole-body convulsions and foaming at the mouth for a year

Answer

Refractory epilepsy is defined as epilepsy seizures that remain uncontrolled even after receiving appropriate antiepileptic medication, with electroencephalogram (EEG) findings indicating epileptic discharges or other abnormal waveforms, which can include infantile spasms. Treatment should be targeted at the underlying cause, such as draining hematomas, removing tumors, and treating cerebral edema. Concurrent use of medications to control seizures is also recommended. Initially, higher doses should be administered, and after seizures are controlled, the dosage can be gradually reduced for standardized treatment. This can lead to recovery.