What is the prognosis of Generalised Seizures or Grand Mal Seizures?

Many factors play a role in determining whether a person with generalized epilepsy eventually becomes seizure-free. Overall, the outlook is best in those who have had very few seizures before beginning treatment, have good seizure control with only one anti-epileptic drug, have a normal EEG between seizures, have no history of brain damage, and have a normal neurological exam at the end of treatment.

In many cases, the outlook is very good. With proper treatment, up to 70 percent of people with epilepsy ultimately become seizure-free for five or more years. Eventually, about 30 percent are able to discontinue medication permanently.

Most children with generalized seizures can lead normal lives, including participating in organized sports, with minimal restrictions.