RT Book, Section A1 Holland, Katherine A2 Hershey, Andrew D. SR Print(0) ID 1195237117 T1 Epilepsy in Adolescents T2 CURRENT Diagnosis & Treatment Pediatric Neurology YR 2023 FD 2023 PB McGraw Hill Education PP New York, NY SN 9781260457520 LK neurology.mhmedical.com/content.aspx?aid=1195237117 RD 2024/10/10 AB The incidence of newly diagnosed seizures is lower in adolescents than in younger children. Although focal epilepsy is still the most common epilepsy classification in adolescents, the etiologies of new-onset seizures are slightly different than earlier in childhood. For symptomatic focal seizures, acquired lesions (eg, head trauma, tumors, mesial temporal sclerosis) predominate over congenital or perinatal causes. Similarly, the epilepsy syndromes seen in this age group are different than earlier in childhood. More often, generalized epilepsy syndromes are seen and benign focal epilepsies resolve by this time. Because of the increased incidence of acquired focal epilepsies (over benign focal epilepsy syndromes), neuroimaging is recommended for adolescents with suspected focal-onset seizures and for those in whom the onset cannot be determined.