What are some good methods for treating pediatric epilepsy?

Patient's question:

Thank you for the doctor's quick answer for me - how should it be treated and prevented

Doctor's answer:

Hello, children are very susceptible to diseases due to their stage of growth and development. In recent years, epilepsy has become highly prevalent among children in China, with the annual incidence rate of pediatric epilepsy in the country rising year after year. There are approximately nine million epilepsy patients in China, of whom about two-thirds are children, totaling around six million pediatric epilepsy patients. The frequent recurrence of epilepsy in children can severely impact brain development, leading to intellectual decline, eccentric behavior, irritability, and impulsive actions.
Experts from the Hangzhou Chang'an Epilepsy Research Institute explained that pediatric epilepsy is the most common type of complex, recurrent, and neurological syndrome during childhood. It is caused by excessive discharge of brain neurons, resulting in episodic dysfunction of brain function. Clinically, it manifests as recurrent muscle convulsions and disturbances in consciousness, as well as suspected abnormalities in sensory, emotional, behavioral, or vegetative nervous system functions.
So, what should be noted when treating pediatric epilepsy? First, experts from the Hangzhou Chang'an Epilepsy Research Institute said that epilepsy is neither a mental illness nor an infectious disease, nor is it an incurable condition. For most children, it is possible to cure epilepsy. Treatment for pediatric epilepsy should begin with monotherapy. As long as children take medication regularly and undergo regular follow-ups, generally, 65% to 80% of pediatric epilepsy patients can achieve complete control of their condition. However, children with epilepsy who exhibit frequent partial seizures, multiple seizure types accompanied by neurological or psychiatric behavioral abnormalities have a poor prognosis. These cases mainly include children with congenital brain development abnormalities (e.g., hemispheric megencephaly, cortical dysplasia) or epilepsy associated with perinatal brain injury, as well as infantile spasms. The common characteristics of these cases are: frequent recurrence despite treatment with multiple antiepileptic drugs, along with the occurrence of cognitive, language, and other neuropsychological dysfunctions and physical developmental delays. Clinical statistics show that about 25% of children may develop this type of drug-resistant epilepsy, leading to intellectual disability and mental decline, which affects their normal growth and development.