Q 1: Is epilepsy incurable? Many patients mistakenly view epilepsy as an incurable disease and often choose to let go of the negative attitude …… Under the influence of the false fear effect, children with epilepsy become a group of special children, and many epilepsy patients are often reluctant to go to regular hospitals out of low self-esteem. Many patients mistakenly view epilepsy as an incurable disease and often choose to let their negative attitude go. In fact, most epilepsy can still be effectively controlled if diagnosed early and treated in a formal manner. Because the etiology of epilepsy is complex, many central nervous system or systemic diseases can cause epilepsy. Therefore, if you have seizures, you can first go to a regular hospital for examination to identify the cause of the disease seizures and the type of epilepsy. For example, undergo a computer-controlled tomography (CT) scan or brain MRI and other necessary tests. In general, CT scans help identify the source of the patient’s seizures. An EEG detects and records electrical impulses on the surface of the brain in order to check for any irregular electrical activity in the brain that can cause seizures and to help locate and determine the severity and type of epilepsy. Q 2: Is the child with epilepsy mentally limited? Under the influence of previous false fear effects, children with epilepsy seem to be a special group of children, and many parents fear that their child’s intellectual development will be hindered or even completely retarded as a result. In fact, the relationship between epilepsy and pediatric intelligence cannot be generalized; some children with epilepsy have completely normal intelligence, while others have slightly lower intelligence than normal children. In general, children with epilepsy caused by brain dysplasia, chromosomal abnormalities, and inborn metabolic abnormalities are often mentally retarded, and the more frequent the seizures, the younger the age of onset, and the greater the potential impact on the child’s intelligence. Therefore, if seizures are controlled and treated early in the course of a child’s seizure, the adverse effects on the child’s intellectual development can be minimized. In addition, in order to minimize the frequency of seizures in children with epilepsy, parents need to pay extra attention to several details when arranging the daily routine for their children, such as not drinking too much food and water, not drinking stimulant drinks, staying away from high-salt foods, and getting enough sleep. Q3: Can folk remedies be “trusted”? Many people with epilepsy are often reluctant to go to regular hospitals due to low self-esteem, and rely on so-called folk remedies. In fact, blindly seeking medical help is not only ineffective in controlling seizures, but can easily delay the condition. In general, many epilepsies can be controlled and improved by various anti-epileptic medications and surgical treatments. It is important to note that the choice of medication should take into account the type of seizure stimulus, the patient’s living and working environment, the frequency and severity of seizures, and the type of epilepsy syndrome. Therefore, the following principles are recommended when applying antiepileptic drugs: First, when multiple antiepileptic drugs are available for treatment selection, the adverse effects of antiepileptic drugs are considered in combination with the patient’s condition. For example, antiepileptic drugs that have a risk of hyperactivity should not be used to treat children with attention deficit hyperactivity syndrome; second, antiepileptic drugs should be selected based on the patient’s seizure type or epilepsy syndrome. For example, infantile spasms is an age-dependent epilepsy syndrome that mainly affects infants within one year of birth, and the use of sodium valproate, pro-adrenocorticosteroids, and glucocorticoids is a more appropriate pharmacological treatment. In contrast, Len-Georg syndrome is an age-dependent epilepsy of childhood, and treatment with sodium valproate, benzodiazepines, lamotrigine, or nonbanter is recommended. In childhood aphasic epilepsy is treated with sodium valproate or ethosuximide. For patients who cannot be controlled with regular medication, surgical treatment may be considered, such as removal of the brain tissue causing the epilepsy and blocking the conduction pathways of epileptic nerve impulses. This requires consultation with a physician to develop the most appropriate surgical treatment plan for each type of epilepsy.