The Royal Surrey County Hospital has suspended a doctor after concerns were raised about how children with epilepsy were being treated.
The hospital has informed parents of 569 children with epilepsy there will be a review of Dr Nicholas Driver's methods going back nine years.The hospital said none of the children had died as a result of the treatment.
But medical director Christopher Tibbs did not rule out that some children may have come to harm.
'Distressing news' Dr Tibbs said the hospital received a letter from a paediatric neurologist in February expressing concern about Dr Driver's methods.
Dr Driver, described by Dr Tibbs as a "hard-working and diligent doctor", was suspended from working with children with epilepsy the next day.
Two weeks later, he was suspended from all hospital duties, Dr Tibbs said.
Dr Tibbs urged parents not to change their children's medication without seeking expert advice.
He refused to go into specifics but said the concerns were about "the totality of the management of the patient".
A letter sent to parents seen by BBC Surrey says independent experts will look back at Dr Driver's cases since 2002.
It says: "We realise this might be distressing news and would like to apologise for any anxiety caused."
A spokeswoman for the Epilepsy Society said it would be inappropriate to comment on the case.
She added: "However, if your child is currently receiving treatment for epilepsy, it is important that you do not alter or stop their anti-epileptic medication."
A dedicated helpline - 01483 408379 - has been set up by the hospital for anyone directly affected by the issue.
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