More research to improve quality of life urgently needed
Research into DEE-SWAS has made important progress in genetics, brain science and treatment. However, medical research takes time, and families, including those like mine, where no genetic cause has been identified, do not have time to wait for precision therapies.
Alongside medical advances, there is a need for practical ways to support our child to stay actively involved in friendships, weekend activities, family celebrations and outings, and school in ways that are meaningful to them and help them feel they still belong.
What my family needs is not additional therapy or parent training programs that place more pressure on our already overstretched lives, but practical strategies that can be built into the things our child (and we) were already doing before DEE-SWAS.
These strategies need to be flexible and responsive day-to-day, even hour-to-hour, to fluctuating cognition, fatigue, sensory overwhelm, and the uncertainty of a long and complex diagnostic journey. Whether support is agile matters just as much as what is delivered, for meaningful participation.
In many ways, this experience can resemble conditions such as acquired brain injury or dementia, where skills change over time, rather than conditions present from early development. Our experience has been that when this kind of support is there, it brings our child joy, confidence, a sense of capability, pride and beautiful friendships.
This section brings together research related to these areas. While most of this isn’t directly practical, it may still offer useful insights for families and the people around them. If you know of research to include, or if anything here could be explained more clearly, please email melanie@voicesofdeeswas.org
“I just want to be normal”: How epilepsy reshapes identity, belonging and everyday life
This study explores how children and adolescents with intractable (medically resistant) epilepsy understand their own lives. Instead of relying on clinical measures, it centres their voices. What emerges is not just a story about seizures, but about identity, belonging, and what it means to feel “normal” in childhood and adolescence.
“Complicated epilepsy” linked to higher support needs at school
This study looked at learning and school outcomes in children with early onset epilepsy, with a focus on those with “complicated epilepsy”, who have additional brain, developmental or cognitive difficulties. Conditions like DEE-SWAS would sit within this more complex group.
Long-term cognitive outcomes in children with CSWS
This study examined how children’s cognitive abilities change over time in CSWS, exploring whether difficulties improve, remain stable, or lead to lasting impairment.
Mental health intervention for a child with DEE-SWAS: a Telehealth case study
This case study explored whether a structured behavioural approach - delivered entirely via Telehealth - could address escalating behaviours and improve family life.
Intelligence Outcomes After Remission of DEE-SWAS
This study explored what happens to children’s intelligence after the abnormal sleep EEG pattern in DEE-SWAS resolves, examining whether cognitive abilities recover, stabilise, or continue to decline over time.
Landau–Kleffner Syndrome: clinical course and factors linked to long-term outcomes
This study examined how Landau–Kleffner Syndrome develops over time and which clinical factors are associated with better or poorer long-term outcomes for affected children.
Adult outcomes after childhood CSWS and Landau–Kleffner Syndrome
This study examined how people diagnosed with CSWS or Landau–Kleffner syndrome in childhood were functioning in adulthood, focusing on cognitive abilities, language, and everyday life outcomes.