Is epilepsy caused by fever in childhood hereditary?

Patient's question:

My brother had a seizure disorder as a from having a fever when he was one year old. He had surgery and hasn't had a recurrence for two years. Today, it recurred again. He is now 20 years old.

Doctor's answer:

Epilepsy has an irregular genetic influence in a few cases, which has little impact on most people, with the extent of the impact mainly related to the cause. Among relatives of primary epilepsy patients, the incidence rate is 3%–4%, while in secondary epilepsy patients, it is 0–1%. This indicates that the primary type has a greater impact, and the closer the blood relationship, the higher the incidence rate. If both parents have epilepsy or one child has already been diagnosed, the incidence rate in the third generation is 20%. Therefore, although primary epilepsy patients can marry, they should be restricted in terms of reproduction. When choosing a spouse, epilepsy patients should avoid those who have had epilepsy or have a family history of the disease, and it is best to have a more distant blood relationship.

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