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Author Phil Tittensor is lead epilepsy nurse at the Royal Wolverhampton Trust and chair of the Epilepsy Nurses Association. The various types of epilepsy carry a heavy physical and emotional burden for patients and, despite a wealth of new drugs and advances in classification and diagnosis, many people still do not have access to optimal care and are not seizurefree. This is partly due to a lack of knowledge, both among the public and generalist practitioners. There are perhaps 1,000-1,500 sudden unexpected deaths in epilepsy per year in the UK, and it is thought that half of them could probably be prevented. This article provides an overview of epilepsy, from classification and diagnosis to acute treatment and long-term management.Citation Tittensor P (2018) Challenges in acute treatment and long-term management of epilepsy.