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The pathogenesis of epilepsy is highly complex and multifactorial, involving a combination of mechanisms such as abnormal neuronal discharges, imbalances in neurotransmitter systems, dysfunction of ion channels, dysregulation of neuroglial cell activity, genetic predispositions, immune-mediated processes, mitochondrial dysfunction, and the modulatory influence of gut microbiota (Chakraborty et al., 2022)