Difficult to Treat Epilepsy: A Management Primer for Non-Neurologists ~ Dr. Prithika Chary
Epilepsy is a disorder of recurrent seizures with serious implications especially when seizures are frequent,
severe and of long duration.
Such patients have difficult to treat epilepsy and can present a challenge in diagnosis and treatment. More significantly the epilepsy
grossly impairs quality of life and has psychosocial implications and carries high morbidity and risk of mortality (SUDEP – Sudden Unexpected Death in
Despite several attempts at various definitions a common ground is not present to decide when a patient fits the criterion of
refractory or drug resistant epilepsy, in my practice I choose to have a broader category as difficult to treat epilepsy.