Statistically, a diagnosis of epilepsy occurs most commonly in children under five. However epilepsy can occur at any stage in childhood (or adulthood). Some epilepsy syndromes will appear in infancy and early childhood and can be recognised by other concomitant identifying factors from blood tests, cognitive ability and the appearance, type and number of seizures.
Some childhood epilepsies have an excellent prognosis and most children may be well controlled on the right medication or not need any treatment at all. Many children will outgrow their seizures around the time of puberty.
A small group of children with epilepsy will be more of a challenge to treat. Growth, progression of syndrome and related factors can sometimes prove to be tricky in maintaining seizure control. For the best possible outcome it is essential for parents and caregivers to have an honest and open relationship with specialists involved in the care of children with epilepsy.