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NDD w/o Epilepsy

Explore NDD without Epilepsy (NDDwoE), a unique SCN8A phenotype marked by developmental delays minus the seizures, highlighting a path of hopeful progress.

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Neurodevelopmental Disorder (NDD) without Epilepsy

NDD without epilepsy involves developmental delays and cognitive challenges absent seizure activity. Children with this condition may struggle with motor skills, speech, and learning but have a better prognosis for improvement compared to more severe variants. Improvements in these areas are possible over time, especially with early intervention and support. Behavioral and emotional regulation issues are also common but may stabilize or improve as the child develops. This condition presents a unique set of challenges, yet with a hopeful outlook for progress and adaptation.

Seizure Onset Seizure Onset N/A
Developmental Delay Onset Developmental Delay Onset 12 - 36 Months
Seizure Type Seizure Types None
Clinical Features Clinical Features Delayed Motor Abilities and Language, Some Cognitive Understanding, Autistic Features
Seizure Freedom Seizure Freedom N/A
SCN8A Prognosis Prognosis Limited Change to Improvement
Seizure Onset

Seizure Onset

N/A

Developmental Delay Onset

Developmental Delay Onset

12 – 36 Months

Seizure Type

Seizure Types

None

Clinical Features

Clinical Features

Delayed Motor Abilities and Language, Some Cognitive Understanding, Autistic Features

Seizure Freedom

Seizure Freedom

N/A

Prognosis

Prognosis

Limited Change to Improvement 

This table shows consensus levels for severity and expected change over time among common comorbidities. Compared with severe DEE, NDD without generalized epilepsy consensus showed less severity than severe DEE for all comorbidities except sleep disturbances and autism spectrum disorder. There were many areas where comorbidity progression was similar or worse than severe DEE. Most of these are neurological or cognitive comorbidities.

Both cognition and development are expected to develop with limited change or moderate improvement. Both areas have moderate consensus.

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IMPORTANT: While this consensus data provides new and valuable insights about best practices in the diagnosis and treatment of SCN8A, this is not medical advice. It can inform clinicians and caregivers alike in developing optimal treatment plans for each individual.