Progress in understanding the genetics of epilepsy is proceeding at a dizzy
ing pace. Due in large part to rapid progress in molecular genetics, gene d
efects underlying many of the inherited epilepsies have been mapped, and se
veral more are likely to be added each year. In this review, we summarize t
he available information on the genetic basis of human epilepsies and epile
psy syndromes, and correlate these advances with rapidly expanding informat
ion about the mechanisms of epilepsy gained from both spontaneous and trans
genic animal models. We also provide practical suggestions for clinicians c
onfronted with families in which multiple members are afflicted with epilep
sy.