Epilepsy: risk factors for relapse after treatment withdrawal

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Epilepsy: risk factors for relapse after treatment withdrawal. Young age at onset of epilepsy, Female sex. Fully referenced neurology checklist.

Subject-related risk factors

  • Young age at onset of epilepsy
  • Female sex
  • Developmental delay
  • Family history of epilepsy

Seizure-related risk factors

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Anti-epileptic drug (AED) related risk factors

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Non-risk factors

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References

  1. Lamberink HJ, Otte WM, Geerts AT, et al. Individualised prediction model of seizure recurrence and long-term outcomes after withdrawal of antiepileptic drugs in seizure-free patients: a systematic review and individual participant data meta-analysis. Lancet Neurol 2017; 16:523-531.
  2. Kwan P, Sander JW. The natural history of epilepsy: an epidemiological view. JNNP 2004; 75:1376-1381.
  3. Tang X, Yu P, Ding D, et al. Risk factors for seizure reoccurrence after withdrawal from antiepileptic drugs in individuals who have been seizure-free for over 2 years. PLoS One 2017; 12:e0181710.
  4. Su L, Di Q, Yu N, Zhang Y. Predictors for relapse after antiepileptic drug withdrawal in seizure-free patients with epilepsy. J Clin Neurosci 2013; 20:790-794.

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