Occipital lobe epilepsy is categorized into primary and secondary. Primary epilepsy has a good prognosis, while secondary epilepsy can be well controlled by medication, and those with poor medication control may need surgery. 1. Primary occipital lobe epilepsy: also known as benign occipital lobe epilepsy in children, including early-onset benign children’s occipital lobe epilepsy and late-onset children’s occipital lobe epilepsy are mostly seen in children, and can be treated with valproic acid antiepileptic therapy, which has remarkable efficacy and good prognosis. 2. Secondary occipital lobe epilepsy: often secondary to various brain injuries, such as focal cortical dysplasia, traumatic brain injury, cerebral hemorrhage, brain tumors. Preferred carbamazepine drugs, but also available sodium valproate, levetiracetam and other antiepileptic drugs. Drug-refractory occipital lobe epilepsy can be treated by surgery. When there are morphological changes in the occipital lobe, surgery that focuses on resection of the lesion site and surrounding epileptogenic foci can be selected. When it has no morphological changes, the appropriate surgical method should be selected based on comprehensive consideration of its clinical features and EEG performance. Most of the occipital lobe epilepsy drug treatment effect is good, drug-refractory occipital lobe epilepsy can be treated by surgery, it is recommended that patients go to the regular hospital for consultation and treatment, and comply with the doctor’s instructions for medication and treatment.