Child with a one-year-old high fever induces epilepsy, affects intelligence, can it recover?

Patient's question:

My child had epilepsy triggered by high fever at the age of one, and I have been taking medication for three years now. The frequency of seizures has been suppressed, but my child now has significant intellectual development issues, which is causing us, as parents, great distress. I wonder if there is any chance of recovery?

Doctor's answer:

A one-year-old high fever-induced epilepsy affects intelligence. Can it recover? Antiepileptic drug treatment should, as far as possible, adopt monotherapy until it reaches an effective or maximum tolerated dose. If monotherapy fails, combination therapy can be used. It is preferable to use drugs with different mechanisms of action and minimal or no drug interactions. Rational drug combination should aim to achieve the best clinical efficacy and the lightest financial burden on the patient.

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