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Title: The new patient with a first seizure.
Austin Authors: King, Mark
Affiliation: Epilepsy Research Institute, Austin and Repartriation Medical Centre, Heidelberg, Victoria.
Issue Date: 1-Apr-2003
Publication information: 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.
Gov't Doc #: 12735261
Journal: Australian Family Physician
Type: Journal Article
Subjects: Adult
Anticonvulsants.therapeutic use
Diagnosis, Differential
Genetic Counseling
Magnetic Resonance Imaging
Medical History Taking
Myoclonic Epilepsy, Juvenile.classification.diagnosis.drug therapy.etiology
Patient Selection
Physical Examination
Referral and Consultation
Tomography, X-Ray Computed
Valproic Acid.therapeutic use
Appears in Collections:Journal articles

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