There is no single cause for intractable epilepsy.  It is often hard for the doctor to pinpoint the cause without further testing or surgery. There are a few factors that may contribute to epilepsy becoming intractable:

• Certain epilepsy syndromes

• Patient’s age at onset (very young patients  are at highest risk)

• Initial seizure frequency (having more seizures in the first 6 months)

• History of having a prolonged seizure

• Certain EEG findings

• Presence of developmental delay

Intractable epilepsy may last a lifetime and create many long-term issues.  Children with intractable epilepsy may have any of these: 

• Trouble doing school work 

• Needing help with daily living skills 

• A greater risk of injury

• Depression or anxiety

• Trouble sleeping

• Reproductive issues

Your child’s doctor and healthcare team will discuss with you treatment options for your child.  These options include: 

Medications

Seizure medicines may be continued or changed. The doctor will evaluate your child’s medication and change certain drugs if indicated.  

Surgical Options

The doctor may suggest surgery.  If your doctor thinks your child is a candidate for surgery, he or she will review this with you in more detail. 

Dietary Treatments

Some children benefit from changes in their diet.