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Is epilepsy 100% curable?

Published in Epilepsy Management 2 mins read

No, epilepsy is not 100% curable, but it is often effectively managed.

While many individuals with epilepsy achieve seizure freedom with appropriate treatment, a significant portion continues to experience seizures despite medication. Let's break down the details:

  • Seizure Freedom: Approximately 70% of individuals with epilepsy become seizure-free with medication. This means they experience no seizures for a defined period, often several years.

  • Drug-Resistant Epilepsy: The remaining 30% are classified as having drug-resistant epilepsy. This means their seizures are not adequately controlled by medication.

  • Alternative Treatments: For those with drug-resistant epilepsy, other treatment options exist, including:

    • Epilepsy Surgery: Surgery can be a viable option for carefully selected candidates with drug-resistant epilepsy, particularly if the seizures originate from a specific area of the brain that can be safely removed or disconnected.
    • Vagus Nerve Stimulation (VNS): A device implanted to stimulate the vagus nerve, helping to reduce seizure frequency.
    • Responsive Neurostimulation (RNS): A device implanted to detect and respond to abnormal brain activity to prevent seizures.
    • Dietary Therapies: Special diets, such as the ketogenic diet, can be effective in managing seizures, particularly in children.

Even with these treatments, complete and permanent freedom from seizures is not always achievable for everyone. Epilepsy management often focuses on reducing seizure frequency and severity to improve quality of life.

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