Adult epilepsy, in general, can be categorized into primary epilepsy as well as secondary epilepsy. Most secondary epilepsies can be cured; a small proportion of primary epilepsies can be cured.
1. Primary epilepsy: A small portion of primary epilepsy can be cured, however, most primary epilepsy is difficult to cure and needs to be controlled through the application of medication. In addition, once the diagnosis of epilepsy is confirmed, anti-epileptic drugs need to be applied in a timely manner to avoid seizures, the more common drugs include: lamotrigine and topiramate.
2. Secondary epilepsy: commonly caused by intracranial infections, craniocerebral injuries, craniocerebral tumors and congenital vascular malformations, etc. Once the cause of epilepsy is clearly identified, it needs to be actively treated according to the cause of the disease, such as by controlling infections, treating traumas, resecting tumors, and removing malformed blood vessels, most of them can be completely cured.
Different epileptic seizures and epilepsy syndromes have different clinical characteristics and prognosis, and even for patients with the same epilepsy syndrome, the prognosis varies. Overall, about one-third of patients with epilepsy can achieve long-term remission after a period of monotherapy, and even a small percentage of patients can achieve long-term remission without treatment.
In addition, both primary and secondary epilepsy are harmful and patients are advised to actively seek treatment.