Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/9490
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dc.contributor.authorKing, Marken
dc.date.accessioned2015-05-15T22:36:15Z
dc.date.available2015-05-15T22:36:15Z
dc.date.issued2003-04-01en
dc.identifier.citationAustralian Family Physician; 32(4): 221-8en
dc.identifier.govdoc12735261en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/9490en
dc.description.abstractFirst 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.en
dc.language.isoenen
dc.subject.otherAdulten
dc.subject.otherAnticonvulsants.therapeutic useen
dc.subject.otherCausalityen
dc.subject.otherDiagnosis, Differentialen
dc.subject.otherElectroencephalographyen
dc.subject.otherGenetic Counselingen
dc.subject.otherHumansen
dc.subject.otherMagnetic Resonance Imagingen
dc.subject.otherMaleen
dc.subject.otherMedical History Takingen
dc.subject.otherMyoclonic Epilepsy, Juvenile.classification.diagnosis.drug therapy.etiologyen
dc.subject.otherPatient Selectionen
dc.subject.otherPhysical Examinationen
dc.subject.otherPrognosisen
dc.subject.otherRecurrenceen
dc.subject.otherReferral and Consultationen
dc.subject.otherTomography, X-Ray Computeden
dc.subject.otherValproic Acid.therapeutic useen
dc.titleThe new patient with a first seizure.en
dc.typeJournal Articleen
dc.identifier.journaltitleAustralian Family Physicianen
dc.identifier.affiliationEpilepsy Research Institute, Austin and Repartriation Medical Centre, Heidelberg, Victoria.en
dc.description.pages221-8en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/12735261en
dc.type.austinJournal Articleen
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
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