['Wait and see' in paediatric epilepsy. Our experience].

Area of Science:

• Pediatric Neurology
• Epileptology

Context:

• Epilepsy management in children often involves pharmacological treatment.
• Current treatments aim to control seizures but do not offer a cure.
• The decision to initiate treatment is complex and impacts a child's life.

Purpose:

• To analyze the outcomes of children with non-symptomatic seizures who did not receive pharmacological treatment.
• To evaluate the experience with untreated epilepsy in a pediatric neurology setting.

Summary:

• A study analyzed 65 children with non-symptomatic seizures, some experiencing single or multiple events.
• Electroencephalogram and neuroimaging findings varied, with a significant portion showing abnormalities.
• Follow-up periods averaged 2.7 to 3.8 years, observing seizure patterns and characteristics.

Impact:

• Treatment decisions for childhood epilepsy should prioritize quality of life and neurodevelopment.
• Parental involvement and agreement are crucial in managing antiepileptic drug therapy.
• This approach may lead to more individualized and less aggressive treatment strategies.