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Refractory Epilepsy

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Dr Arun Kumar Agrawal    20 January 2017

Refractory epilepsy or difficult-to-treat epilepsy is not uncommon; it is a known entity even in the best medical treating hands. It is better to revise the whole history before labeling a case as refractory epilepsy. If possible, it should be reviewed by a different specialist. Pseudoseizures should be excluded. Alternatives to medical treatment like vagal nerve stimulation and surgery can be tried. Each and every disease is not 100% treatable or curable so dont lose your heart (advice to the treating doctor). Do not hesitate in referring to your colleague, may be he can do better though the chances are rare. Education program for patient and/or relatives is important.

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