Whether the epilepsy is benign or malignant can be determined from the symptoms, electroencephalogram, and the effect of drug treatment.
1. Symptoms: Benign epileptic seizures are mainly in the form of partial motor seizures, apoplectic seizures, atonic seizures, myoclonic seizures, etc., with twitching and numbness of the face and corners of the mouth, and in severe cases, there will be generalized convulsions and blurred consciousness. Malignant epilepsy may present with loss of consciousness, apnea, high fever and lethargy.
2. Electroencephalography (EEG): Benign or malignant epilepsy can be determined by EEG, which observes brain waves and clarifies whether there are abnormal brain discharges.
3. Effectiveness of medication: Benign epilepsy patients are well treated with medication, while malignant epilepsy is often poorly treated with medication. The ultimate goal of epilepsy treatment is to completely control seizures so that patients can achieve a normal quality of life. Treatment includes medication (e.g., carbamazepine) and surgery (e.g., lesion removal surgery).
It is recommended that patients with epilepsy further define the cause and type of the disease and undergo medication and surgery under the guidance of a doctor.