Managing Seizure Control and Neuropsychiatric Impact: A Case of Medication Compliance

Epilepsy is characterized by a long-standing tendency to generate unprovoked seizures, accompanied by a range of neurobiological, cognitive, psychological, and social consequences. The condition is slightly more prevalent in males, particularly among the elderly, due to a higher incidence of strokes, neurological disorders, and tumors in this group. Focal seizures are more commonly observed than generalized ones across both pediatric and adult populations. When assessed in terms of seizure control, many individuals with epilepsy demonstrate a favorable prognosis. However, in low- and middle-income countries (LMICs), a significant treatment gap persists due to factors such as misdiagnosis, inadequate access to medications, acute symptomatic seizures, and increased early mortality. Research indicates that nearly half of epilepsy patients eventually achieve sustained seizure remission. This report illustrates the case of 22-year-old young man with a history of epilepsy and the complex interplay between medication adherence, epilepsy management and the broader impacts on his health.