Seizures are present in 30 percent of children with mental retardation. With increasing severity of mental retardation, there are often increasingly complex seizures. Problems associated with epilepsy are identical to those of children with cerebral palsy described earlier in the chapter. The physician should be alert to the possibility of multiple seizure types, use of multiple anticonvulsants, drug-drug interactions of anticonvulsant medications, and the possible fragility of seizure control. Contact with the managing neurologist is strongly advised in such cases.

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