Will benign childhood epilepsy get better on its own without treatment?

Patient's question:

Some people say that pediatric epilepsy doesn't need to be treated. May I ask if benign pediatric epilepsy will improve on its own without treatment?

Doctor's answer:

Childhood benign epilepsy is a type unique to childhood, characterized by occurring only during a specific developmental period in children (it does not occur in adults), not caused by focal diseases, having significant genetic factors, and with consciousness not lost during seizures, no intellectual impairment, natural remission, and a good prognosis. Some doctors believe that childhood benign epilepsy has infrequent episodes and does not require treatment. However, follow-up studies have found that children who do not receive treatment have poorer learning abilities compared to other children. Although most cases of childhood benign epilepsy resolve on their own, this does not mean that treatment is unnecessary.

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