Will benign childhood epilepsy improve 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 occurrence only during a specific developmental period in children (it does not occur in adults), not caused by focal diseases, with significant genetic factors, no loss of consciousness during seizures, no intellectual impairment, natural remission, and a good prognosis. Some doctors believe that childhood benign epilepsy has a low frequency of onset and does not require treatment. However, follow-up studies have shown 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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