When treatment for childhood-onset epilepsy is introduced in the transitional period, neurologists must classify the epilepsy syndrome according to the age of onset and etiology. When a patient with refractory epilepsy consults a neurologist during the transition, it is essential to review the antiepileptic medication and reaffirm the treatment goal. In cases where pre-existing disease or comorbidities are present, a neurologist should treat their patients in consultation with general physicians or home-visit doctors.