Epilepsy
Table:
Epilepsy
Other names	Seizure disorder

Generalized 3 Hz spike-and-wave discharges on an electroencephalogram
Specialty	Neurology
Symptoms	Periods of vigorous shaking, nearly undetectable spells[1]
Duration	Long term[1]
Causes	Unknown, brain injury, stroke, brain tumors, infections of the brain, birth defects[1][2][3]
Diagnostic method	Electroencephalogram, ruling out other possible causes[4]
Differential diagnosis	Fainting, alcohol withdrawal, electrolyte problems[4]
Treatment	Medication, surgery, neurostimulation, dietary changes[5][6]
Prognosis	Controllable in 70%[7]
Frequency	39 million / 0.5% (2015)[8]
Deaths	125,000 (2015)[9]

Using the given table, decide if the statement is entailed, neutral, or refuted by the data. Output only the JSON object {"answer": "YOUR ANSWER"}.

Statement: The disease Epilepsy always has a clear starting point.

answer: refuted