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Accidental Injury is a Serious Risk in Children with Typical Absence Epilepsy Arch Neurol 53:929-932, Wirrell,E.C.,et al, 1996 See this aricle in Pubmed Article Abstract Sixteen(27%)of 59 patients with AE reported accidental injury during an absence seizure,with the risk of injury being 9%per person-year of AE.Most injuries(81%)occurred during anti-epileptic drug therapy.Although the majority of injuries did not require treatment,2(13%)of 16 patients required minor treatment and 2(13%)of 16 were admitted to hospital.The risk of accidental injury resulting from an absence seizure in person- years at risk was highest in juvenile AE(14%,and lowest in childhood AE (3%).Patients with AE had a greater number of overall accident injuries than those with JRA(P<.04),but these differences were particularly marked for bicycle(P<.003)and car accidents(P<.05)and for mild head injuries(P=. 05).Accidental injury is common in AE and usually occurs after anti- epileptic drug treatment is started.Injury prevention counseling is indicated both at diagnosis and follow-up.Bicycle accidents pose a special risk and helmet use should be mandatory.

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