Characteristics of Epilepsy in Paediatric Population and Its Effect on The Development and Educational Performance

Document Type : Original Article

Authors

1 Department of Neurology, Faculty of Medicine, Al-Azhar University, Cairo Egypt.

2 Department of Neurology, Faculty of Medicine, Al-Azhar University, Cairo Egypt & Department of Neurology, The Royal Wolverhampton NHS Trust, Wolverhampton, UK.

https://doi.org/10.21608/aimj.2025.446566

Abstract

Background: Epilepsy is a prevalent neurological disorder in children, profoundly affecting cognitive, social, and educational development.
Objective: To assess the characteristics, comorbidities, and developmental and educational outcomes of paediatric epilepsy.
Methods: A cross-sectional study involving 670 children with epilepsy was conducted at a neuropediatric unit. Data on demographic, clinical, and developmental variables were analyzed using logistic regression to determine predictors of seizure control and outcomes.
Results: The median age was 7 years (51.8% male). Generalized tonic-clonic seizures (73.1%) were the most common. Uncontrolled epilepsy correlated significantly with epileptic syndromes, status epilepticus, and abnormal neurological findings (p < 0.001). Behavioural issues and female gender were linked to poorer outcomes, while normal MRI and EEG findings predicted better control. Consanguinity was associated with favourable outcomes (p < 0.05).
Conclusion: Seizure control and comorbidities shape developmental outcomes in paediatric epilepsy. Early diagnosis, individualized treatment, and educational support are essential to enhance quality of life and learning potential.
 

Keywords