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Volume 64, Number 12, June 28, 2005
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NEUROLOGY 2005;64:2136-2138
© 2005 American Academy of Neurology


Brief Communications

Four-year outcome after early withdrawal of antiepileptic drugs in childhood epilepsy

A. T. Geerts, MSc*, J.M.F. Niermeijer, MD*, A. C.B. Peters, MD, PhD, W. F.M. Arts, MD, PhD, O. F. Brouwer, MD, PhD, H. Stroink, MD, E. A.J. Peeters, MD and C. A. van Donselaar, MD, PhD

From the Department of Neurology (Drs. Geerts and Arts), Section Pediatric Neurology, Erasmus Medical Center–Sophia Children’s Hospital, Rotterdam; Departments of Neurology and Neurosurgery (Dr. Niermeijer and van Donselaar) and Pediatric Neurology (Dr. Peters), Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht; Department of Neurology (Dr. Brouwer), University Medical Center Groningen, Groningen; Department of Neurology (Dr. Stroink), St. Elisabeth and Tweesteden Hospital, Tilburg; Department of Pediatric Neurology (Dr. Peeters), MCH Westeinde and Juliana Children’s Hospital, The Hague, The Netherlands.

Address correspondence and reprint requests to Dr van Donselaar, Rudolf Magnus Institute of Neuroscience, Department of Neurology and Neurosurgery, UMC Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands; e-mail: c.a.vandonselaar{at}neuro.azu.nl

Four-year follow-up of children with epilepsy included in a randomized trial of early withdrawal of antiepileptic drugs showed that 51% achieved a terminal remission of at least 2 years without medication and 21% with medication; 15% had seizures during the fourth year. Early medication withdrawal is not recommended as standard practice in children with a rapid response to medication. The authors developed a model to predict outcome if withdrawal is considered.


Additional material related to this article can be found on the Neurology Web site. Go to www.neurology.org and scroll down the Table of Contents for the June 28 issue to find the title link for this article.

*The first two authors contributed equally to this study.

Supported by the National Epilepsy Fund, Houten, The Netherlands (A72 and A85) as part of the Dutch Study of Epilepsy in Childhood.

Received September 10, 2004. Accepted in final form March 15, 2005.


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