[Cognitive and socio-educational ramifications of epilepsy in the child].

Cognitive effects and psychosocial risks after childhood onset epilepsy are better known nowadays, as well as their dependency upon several causative factors. Remission of seizures does not ensure good psychosocial outcome. A specific prevention and evaluation work is always necessary, and is first a medical work. Information has a very important part. Restrictions have to be optimally adapted to seizure related risk, in order to obtain an improvement in quality of life. Neuropsychological assessments and psychopathological approach are both necessary. Neuropsychological assessment may show specific cognitive impairments related to epilepsy type and localisation or epileptic syndrome. Rehabilitation has to be suited to each child, taken into account his intellectual development as well as his behavior and relationships. Multidisciplinary teams working in coordination to teachers are an important need.