What should be done about refractory epilepsy in children?

Patient's question:

We no longer have confidence in what we show our children, and we are also very panicked. We are bullied by children at school.

Doctor's answer:

Some children's epilepsy cannot be controlled to achieve seizure-free status, so the current medical goal is not seizure freedom but the highest quality of life. In other words, if the child can achieve relatively satisfactory living and learning even with some seizures, that is acceptable. Some refractory epilepsy can be surgically treated, but medication may still be required after surgery, and complete seizure freedom may not always be achieved. However, surgery is indeed a treatment option for refractory epilepsy. Whether your child is eligible for surgical treatment needs to be evaluated by a neurosurgery team.
I have some questions about your child's treatment. Generally, valproic acid-class drugs refer to sodium valproate or magnesium valproate. What are the ingredients in the anticonvulsant tablets? I think you may need to verify this—whether some words were misspelled or if the current treatment is not standardized. If the treatment is not standardized, there may still be room for adjustment in the child's medication regimen.

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