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NEUROLOGY 1996;46:969-974
© 1996 American Academy of Neurology

Discontinuation of anticonvulsant therapy in children free of seizures for 1 year

A prospective study

J. Dooley, MB FRCP(C), K. Gordon, MD, MS, FRCP(C), P. Camfield, MD, FRCP(C), C. Camfield, MD, FRCP(C) and E. Smith, RN

From the Department of Pediatrics, Dalhousie University (Drs. Dooley, Gordon, P. Camfield, and C. Camfield), and Neurology Division, IWK Children's Hospital (Drs. Dooley, Gordon, P. Camfield, C. Camfield, and Smith), Halifax, Nova Scotia, Canada.
Received May 18, 1995. Accepted in final form August 30, 1995.
Address correspondence and reprint requests to Dr Dooley, Neurology Division, The IWK Children's Hospital, 5850 University Avenue, Halifax, Nova Scotia, Canada B3J 3G9.

We studied 97 children who were weaned from antiepileptic drug therapy 1 year after their last seizure.Medication was withdrawn over 4 to 8 weeks, and patients were followed for 12 to 57 months (32.4 plus minus 13.1; mean plus minus SD) or until seizure recurrence. The overall probability of remaining seizure free was 78% at 3 months, 71% at 6 months, 66% at 12 months, and 61% at 24 months (95% CI, 51, 71), similar to studies that have required longer treatment periods. Factors retained in multivariate analysis were female sex, age at seizure onset over 120 months of age, seizure type, and clinical evidence of neurologic abnormalities. Using these risk factors, a simple method of predicting the 24-month recurrence risk was possible.

NEUROLOGY 1996;46: 969-974.




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