Is epilepsy hereditary? Does epilepsy be hereditary? What is the probability?

Patient's question:

My boyfriend's grandfather has epilepsy, but his parents do not. We are getting married. Will epilepsy still be inherited in this case? Does epilepsy have a genetic component? How high is the probability?

Doctor's answer:

Epilepsy has an irregular genetic impact in a few cases, which does not significantly affect most people, with the extent of the impact mainly related to the cause. The incidence rate of congenital epilepsy is 3%-4%, while that of acquired epilepsy is 0-1%. Additionally, the impact on the fetus primarily comes from the mother. Fathers with epilepsy generally do not need to be concerned.

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