What is the standard definition of cognitive impairment for refractory epilepsy?

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Min Liu

A battery of neuropsychological tests.

Karl F. Masuhr

Thank you for the important question. In any case of refractory epilepsy I propose to find out, whether there is a sleep or awakening epilepsy. The difference ist striking concerning behavior and mental status. Patients with idiopathic (genetic) awakining epilepsy ("Aufwach-Grand mal" and/or "juvenile myoclonic epilepsy" and/or "absences") are more "intelligent", but often less cooperative than patients with sleep-epilepsy. The compliance is much better in the therapy of symptomatic (cryptogenic) sleep epilepsy.