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From the Department of Pediatrics, Dalhousie University, and the IWK Health Centre, Halifax, Nova Scotia, Canada.
Address correspondence and reprint requests to Dr. C. Camfield, IWK Health Centre, PO Box 3070, Halifax, Nova Scotia, Canada B3J 3G9.
Forty-three of 79 children (54%) with benign rolandic epilepsy from a regional population were treated with antiepileptic drugs (AED); 36 (46%) were not. Physician advice was a major determinant of treatment choice. AED significantly reduced generalized seizures (p = 0.001) but did not reduce partial seizures. After 4 to 14 years and >900 seizures, all patients were in remission without medication or injury. Physicians may confidently offer a no-AED treatment strategy.
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