Abstract
This article summarises the management of different situations in which patients present to the acute medical service with seizures. It covers the management of single attacks of loss of consciousness, multiple seizures and status epilepticus in patients with and without known epilepsy. The importance of a good history and witness account where there is a diagnostic issue is stressed. In the case of multiple seizures and status epilepticus, the investigation of the cause of the attacks as well as their acute management is reviewed.
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References
- Forsgren, L., et al., Incidence and clinical characterization of unprovoked seizures in adults: a prospective population-based study. Epilepsia, 1996. 37(3): p. 224-9.
- Herman, S.T., Single Unprovoked Seizures. Curr Treat Options Neurol, 2004. 6(3): p. 243-255.
- Musicco, M., et al., Treatment of first tonic-clonic seizure does not improve the prognosis of epilepsy. First Seizure Trial Group (FIRST Group). Neurology, 1997. 49(4): p. 991-8.
- King, M.A., et al., Epileptology of the first-seizure presentation: a clinical, electroencephalographic, and magnetic resonance imaging study of 300 consecutive patients. Lancet, 1998. 352(9133): p. 1007-11.
- Stroink, H., et al., The first unprovoked, untreated seizure in childhood: a hospital based study of the accuracy of the diagnosis, rate of recurrence, and long term outcome after recurrence. Dutch study of epilepsy in childhood. J Neurol Neurosurg Psychiatry, 1998. 64(5): p. 595-600.
- Shorvon, S., The management of status epilepticus. J Neurol Neurosurg Psychiatry, 2001. 70 Suppl 2: p. II22-7.
- Francis, P. and G.A. Baker, Non-epileptic attack disorder (NEAD): a comprehensive review. Seizure, 1999. 8(1): p. 53-61.
- Binnie, C.D., Non-epileptic attack disorder. Postgrad Med J, 1994. 70(819): p. 1-4.
