Epilepsy affects the quality of life of patients in the Hispanic community physically, socially, and psychologically 1,2 and is associated with the outcome of the disease and their prognosis. The recurrence risk after a first seizure of untreated patients is 40% within 2 years. 3 Hispanic communities with low income may lack knowledge about seizures and have false perceptions about epilepsy. 4 Hispanic populations with less than a high school education may be likely to believe that epilepsy is contagious or is a sin, perceiving that an exorcism would be a good remedy for epilepsy. 2 These perceptions can lead to poor self-efficacy of patients with epilepsy, a perceived stigma because of their condition, and negative outcomes in their health care.Hispanic patients with epilepsy are at risk for undertreatment of depressive comorbidity. 5 Moreover, in patients living in medically underserved populations that have a history of stroke, glioblastoma multiforme, traumatic brain injury, or Alzheimer disease, the risk of lateonset unprovoked seizures is high 6 and the lack of neurological education could limit opportunities for early diagnosis of a seizure. Hispanic communities may benefit from epilepsy education: 53% agreed their family was likely to hide evidence of a family member with epilepsy, and 68% agreed that the family member with this disease required total supervision. 7 Stigma and lack of education about epilepsy limit the diagnosis and treatment of epilepsy in Hispanic communities.Therefore, to understand the current association between epilepsy and cultural barriers to treatment and diagnosis in Hispanic communities, it is important to address issues, such as (1) characteristics of the commu-
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