Recurrent seizures in childhood. Western Cape profile.

In over 50% of children with recurrent seizures in a South African hospital population the onset of attacks was before the age of 2 years. In 32% of patients there was a history of perinatal complications and 11% had a history of meningitis; 38% of the children had abnormalities on physical examination and 55% were intellectually handicapped. Acceptable seizure control was achieved in 71% of patients and 68% were treated with a single anticonvulsant. Appropriate educational placement had not been achieved for 22%. It is concluded that a reduction in the incidence of epilepsy in the community can be achieved by improvements in obstetric/neonatal services and by the raising of living standards. The abolition of racial segregation at special schools and training centres will alleviate the present shortage of places for children with epilepsy who cannot cope at regular schools.