Epilepsy Care
Childhood epilepsy diagnosis; drug plans, long follow-up, and clear family guidance.
Childhood epilepsy is usually manageable with correct diagnosis, appropriate medication when needed, and regular follow-up. Diagnosis relies on detailed history, examination, and often EEG and sometimes MRI together. Prof. Dr. Serap Uysal explains the diagnostic pathway, treatment options, and daily-life precautions in clear language. School, sports, and social participation are part of care; follow-up is individualized because seizure type and medication response differ in every child.
Scope of assessment
Seizure type, duration, frequency, triggers, post-event recovery, development, sleep, and behavior are documented. EEG helps assess epileptiform activity and possible syndrome patterns; MRI is planned when structural causes are suspected. Treatment aims for the best seizure control with the fewest side effects while protecting learning and participation.
When to seek evaluation
Epilepsy is considered when there are two or more unexplained seizure-like events, prolonged seizures, suspected status epilepticus, or clear epileptiform activity on EEG. Early assessment after a single suspicious event also helps avoid unnecessary restrictions. Worsening seizures, medication side effects, or school safety concerns should prompt contact.
- Breakthrough seizures despite treatment
- Marked sleepiness or behavior change on new medication
- Night seizures with morning vomiting
- Developmental plateau or regression
- School concern about seizures or loss of consciousness
Visit and follow-up process
A seizure diary, videos, and prior reports are requested at the first visit. Medication choice depends on age, seizure type, and comorbidities; dose changes are often gradual. Follow-up tracks seizures, side effects, and growth-development together. Psychiatry, dietitian, or epilepsy nursing support is coordinated when helpful.
Clinical approach
Family education covers emergency seizure management, medication adherence, and sleep hygiene. School and sports recommendations are realistic and child-specific. The goal is a safe, sustainable quality of life rather than identical medication or visit intervals for every patient. Blood-level monitoring or drug changes are discussed openly when side effects are suspected.