Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/9490
Title: The new patient with a first seizure.
Authors: King, Mark
Affiliation: Epilepsy Research Institute, Austin and Repartriation Medical Centre, Heidelberg, Victoria.
Issue Date: 1-Apr-2003
Citation: Australian Family Physician; 32(4): 221-8
Abstract: First seizures are common, with one in 20 people suffering a seizure at some time in their life.This article aims to outline the assessment of patients with a first seizure, including making an accurate diagnosis of both seizure type and an epilepsy syndrome, if present.Seizures are classified into generalised and partial (arising from a focal region in the brain) based on clinical and electroencephalogram findings. However, as a partial seizure may proceed to a tonic clonic phase, differentiation may be difficult. Inquiring directly about 'minor' epileptic symptoms before the episode such as absences, myoclonic jerks, visual or auditory hallucinations or feelings of déjà vu, is needed to attempt to make a epilepsy syndrome diagnosis, as this has practical implications for treatment, prognosis and genetic counselling. Generalised epilepsies should be treated initially with valproate, while partial epilepsies should be treated with carbamazepine and switched to newer agents if intolerance occurs.
Internal ID Number: 12735261
URI: http://ahro.austin.org.au/austinjspui/handle/1/9490
URL: http://www.ncbi.nlm.nih.gov/pubmed/12735261
Type: Journal Article
Subjects: Adult
Anticonvulsants.therapeutic use
Causality
Diagnosis, Differential
Electroencephalography
Genetic Counseling
Humans
Magnetic Resonance Imaging
Male
Medical History Taking
Myoclonic Epilepsy, Juvenile.classification.diagnosis.drug therapy.etiology
Patient Selection
Physical Examination
Prognosis
Recurrence
Referral and Consultation
Tomography, X-Ray Computed
Valproic Acid.therapeutic use
Appears in Collections:Journal articles

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