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Arch Dis Child 97:1073-1076 doi:10.1136/archdischild-2012-302822
  • Review

Diagnosis and management of the epilepsies in children: a summary of the partial update of the 2012 NICE epilepsy guideline

  1. J Helen Cross3
  1. 1Department of Neurology, The Roald Dahl EEG Unit, Paediatric Neurosciences Foundation, Alder Hey Children's NHS Foundation Trust, Liverpool, UK
  2. 2Department of Paediatrics, Queen Alexandra Hospital, Portsmouth, UK
  3. 3Department of Child Health, Neurosciences Unit, UCL-Institute of Child Health, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
  1. Correspondence to Dr Richard E Appleton, Department of Neurology, The Roald Dahl EEG Unit, Paediatric Neurosciences Foundation, Alder Hey Children's NHS Foundation Trust, Liverpool L12 2AP, UK; Richard.appleton{at}alderhey.nhs.uk
  • Accepted 11 September 2012
  • Published Online First 6 October 2012

Abstract

The epilepsies of childhood are a heterogeneous group of disorders with different causes, treatments and outcomes. The choice of anti-epileptic drug is largely determined by its effectiveness in a specific epilepsy syndrome, or seizure type(s) if a syndrome cannot be readily identified, and the drug's safety profile. There are minimal randomised controlled trial data to help inform this decision. In January 2012, the National Institute for Health and Clinical Excellence (NICE) published its partially revised and updated clinical guideline on the pharmacological treatment of the epilepsies in children and adults. This partial update provides additional data and also specific recommendations that improve the evidence base for the use of specific anti-epileptic drugs in treating the epilepsies of childhood.