There is increasing evidence that vitamin B 6 , given either as pyridoxine or pyridoxal 5 0 -phosphate, can sometimes result in improved seizure control in idiopathic epilepsy. Whole-exome sequencing was used to identify a de novo mutation (c.629G>A; p.Arg210His) in KCNQ2 in a 7-year-old patient whose neonatal seizures showed a response to pyridoxine and who had a high plasma to CSF pyridoxal 5 0 -phosphate ratio, usually indicative of an inborn error of vitamin B 6 metabolism. This mutation has been described in three other patients with neonatal epileptic encephalopathy. A review of the literature was performed to assess the effectiveness of vitamin B 6 treatment in patients with a KCNQ2 channelopathy. Twenty-three patients have been reported to have been trialled with B 6