Early diagnosis of childhood epilepsy is important and often improves prognosis. Epilepsy starting in infancy or at preschool age may delay the normal development of the child.All children in whom epilepsy is suspected should always be referred urgently to specialist care for further investigations. Diagnosis of epilepsy is based on seizure history, supplemented by EEG recordings and imaging studies. Pharmacological treatment is chosen according to the type of epilepsy or syndrome. Medication that is inappropriate may lead to the aggravation of seizures or other neurological manifestations. The monitoring of the child's neurocognitive development and the provision of appropriate support are important in the treatment of childhood epilepsies. A part of childhood epilepsies are benign and self-limited. The possibility of epilepsy surgery should be considered when the disease proves to be resistant to treatment.