Childhood epilepsy that lasts into adulthood triples mortality
Finnish study over 40 years shows added risk occurs in patients whose seizures persist
By Nathan Seppa
Epilepsy that strikes in childhood and lingers into adulthood triples an individual’s risk of dying, researchers find. But children who “outgrow” epilepsy and see their seizures fade as adults don’t have this added mortality risk, researchers report in the Dec. 23 New England Journal of Medicine.
The findings, from a 40-year study in Finland, provide a long-term look that doctors can use as they puzzle over whether to recommend surgery for patients or continue with medication, says neurologist David Ficker of the University of Cincinnati, who wasn’t involved in the study. “We probably should be treating epilepsy aggressively in people who aren’t seizure-free,” he says.
Doctors tracked the fate of 245 children diagnosed with epilepsy in the early 1960s. Half of the patients had epilepsy stemming from no clear cause and were neurologically normal, apart from having seizures. The other half had a clear epilepsy trigger, such as severe head trauma, brain injury from meningitis or encephalitis, or other brain damage that was identifiable on scans such as magnetic resonance imaging.