The presence of learning difficulties or physical disabilities in association with epilepsy usually carries a poor outlook. However, this does not necessarily mean either that the epilepsy has caused the additional problems, or that these problems have been responsible for the poor outcome. What it usually means is that the underlying abnormality of the brain (of whatever cause) has been severe enough to produce both an epilepsy which is difficult to treat and other neurological problems.

Long-term outlook in adults-The factors which predict a poor outlook in adults are also

well-known. The first is that if the epilepsy is initially difficult to control, then it will usually continue to be difficult to control. The longer that seizures have continued, the less likely they are to stop. Other poor prognostic factors include evidence of structural damage, as manifest by associated neurological signs, the occurrence of partial seizures and the occurrence of episodes of status epilepticus. Exceptions to this general rule are that neurological signs and seizures arising as a result of strokes in older age are not generally difficult to control.


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