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ed co-existence of other seizure types.

th GTCS                                             TA only
or LTG                                   VPA or ESM or LTG

         Persistence or SE                                   Remission

LTG**                                    VPA+LTG**
CLN                                      VPA+ ESM
? +TPM?                                  VPA+CLN

                  Persistence            Taper to effective minimal dose
                                         (monotherapy), and under EEG
         Non-compliance, or other        monitoring, mainly in children
         diagnosis (crypt gen, co-
         existence of partial seizures)
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