Epilepsy is also known as or subsumes Seizure disorder. -ed.
Epilepsy is a common serious disorder of the brain characterized by recurrent epileptic seizures. Differential diagnosis depends on distinguishing between nonepileptic events that resemble epileptic seizures, epileptic seizures that are provoked and do not indicate a diagnosis of epilepsy, and epilepsy, which implies the presence of an epileptogenic disturbance in the brain even when seizures are not occurring. Treatment is based on diagnosis of specific epileptic seizure types and, when present, specific epilepsy syndromes. Pharmacotherapy is the treatment of choice, and 60% to 70% of patients have seizures that can be controlled with medication. Alternative therapies include, but are not limited to, surgical treatment, which is highly effective for specific types of pharmacoresistant epilepsy, vagus nerve stimulation, and the ketogenic diet. The health burden of epilepsy results not only from the epileptic seizures, but also from the social, psychological, and neurologic consequences of these seizures, which can include disabling morbidity and mortality. In this updated article, the author stresses the importance of referral to a full-service, multidisciplinary epilepsy center when trials of 2 antiseizure drugs fail.