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Much of what we know about the evolution and development of epilepsy to date has been obtained from observation of the condition post-diagnosis. However, there is a substantial proportion of patients (16-77%) [1–5] who report a history of seizures that occur before their diagnosis is made. This delay to diagnosis, which may range from a few months to many years [1–5], flags a large gap in our knowledge of epilepsy. The identification of underlying factors associated with prior seizures may provide some insight into mechanisms of early epilepsy and assist with identification of risk factors for poor outcomes.