Wyllie E
Pediatric Epilepsy Program, Cleveland Clinic Foundation, OH 44195.
J Child Neurol. 1994 Oct;9 Suppl 2:8-13.
The decision whether or not to recommend chronic antiepileptic drug treatment for a child with seizures requires a risk-benefit analysis tailored to each individual case. Because all of the available antiepileptic medications have some potential adverse effects, the analysis may weigh in favor of a decision not to treat. Three clinical scenarios in pediatrics in which the no-treatment option may often be appropriate include a single unprovoked seizure, febrile seizures, and benign focal epilepsy of childhood.
对于患有癫痫发作的儿童，决定是否推荐长期抗癫痫药物治疗需要针对每个具体病例进行风险效益分析。由于所有可用的抗癫痫药物都有一些潜在的不良反应，因此该分析可能倾向于不进行治疗的决定。儿科中三种通常可能适合不进行治疗的临床情况包括单次无诱因发作、热性惊厥和儿童良性局灶性癫痫。
