Epilepsy in people with cerebral palsy

Epilepsy is common in people with cerebral palsy, occurring in up to 50% of children and approximately 20% of adults. It is more common in those with severe motor impairment. An individual may have multiple seizure types and the pattern, frequency and type of seizures may change over time, particularly through the childhood years.

Optimal seizure control minimises seizures and maximises quality of life. Seizures may impact on safety, learning, independence, employment and social participation of people with cerebral palsy. Good seizure control also minimises the risk of further brain injury from prolonged seizures; more than one antiepileptic drug may be required.

Sudden Unexpected Death in Epilepsy (SUDEP) is a rare but known association with epilepsy; it can occur at any age and is usually seen in people with uncontrolled seizures. Optimising seizure control is the most effective way to reduce risk.

For advice, including adverse effects and monitoring of antiepileptic drugs, see Epilepsy and seizures in people with developmental disability.