After three months, how to determine if epilepsy is congenital or acquired?

Patient's question:

After laboratory test results: No abnormalities

Doctor's answer:

The causes of pediatric epilepsy include the following:
1. Congenital brain developmental malformations, such as lissencephaly, macrocephaly, pachygyria, gray matter heterotopia, porencephaly, congenital hydrocephalus, corpus callosum agenesis, arachnoid cysts, microcephaly, and macrocephaly, etc.;
2. Neurocutaneous syndromes: The most common include tuberous sclerosis, neurofibromatosis, and trigeminal angiofibromatosis, etc.;
3. Genetic metabolic diseases, such as phenylketonuria, hyperammonemia, cerebral lipid storage disease, and vitamin B6 dependency, etc.;
4. Perinatal brain injury, mainly including birth trauma, asphyxia, intracranial hemorrhage, hypoxia, ischemic encephalopathy, among which hypoxic-ischemic encephalopathy leading to epilepsy is the most common;
5. Intracranial infections, such as bacterial meningitis, viral encephalitis, brain abscesses, fungal meningitis, cerebral parasitic diseases, post-vaccination encephalitis, and post-infection encephalitis, etc.;
6. Nutritional metabolic disorders and endocrine diseases, such as hypoglycemia, hypocalcemia, hypomagnesemia, vitamin B6 deficiency, and hypothyroidism, etc.;
7. Cerebrovascular diseases, such as vascular malformations, intracranial hemorrhage, vasculitis, and cerebral infarction, etc.;
8. Trauma: Intracranial hemorrhage, skull fractures, and cerebral contusions caused by trauma can all lead to epilepsy, but the incidence rate is related to the severity and location of the injury;
9. Post-high fever seizures brain injury also leads to epilepsy.
10. Congenital factors: Primarily refers to damage to the fetus before birth in the mother's womb, which can cause abnormal brain development and lead to epilepsy recurrence after birth. Examples include abdominal injuries in pregnant women, uterine bleeding, ultraviolet exposure, taking harmful drugs for the fetus, and infections from various microorganisms, especially rubella, measles viruses, and toxoplasma infections, etc.
11. Genetics: Children of epilepsy patients have a 100%

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