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Diagnosis and treatment of non-triggered single epileptic seizures

I.E. Martínez-Juárez, J. Moreno, L.D. Ladino, N. Castro, L. Hernández-Vanegas, J.G. Burneo, L. Hernández-Ronquillo, J.F. Téllez-Zenteno [REV NEUROL 2016;63:165-175] PMID: 27439486 DOI: https://doi.org/10.33588/rn.6304.2016078

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Volumen 63 | Number 04 | Nº of views of the article 9.970 | Nº of PDF downloads 1.869 | Article publication date 16/08/2016

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ABSTRACT

Epileptic seizures are one of the main reasons for neurological visits in an emergency department. Convulsions represent a traumatic event for the patient and the family, with significant medical and social consequences. Due to their prevalence and impact, the initial management is of vital importance. Although following the first epileptic seizure, early recurrence diminishes after establishing treatment with antiepileptic drugs, the forecast for developing epilepsy and long-term outcomes are not altered by any early intervention. Detailed questioning based on the symptoms of the convulsions, the patient’s medical history and a full electroencephalogram and neuroimaging study make it possible to define the risk of recurrence of the seizure and the possible diagnosis of epilepsy. Epileptic abnormalities, the presence of old or new potentially epileptogenic brain lesions, as well as nocturnal seizures, increase the risk of recurrence. Physicians must assess each patient on an individual basis to determine the most suitable treatment, and explain the risk of not being treated versus the risk that exists if treatment with antiepileptic drugs is established. KeywordsDiagnosis Evidence-based medicine Prognosis Recurrence Treatment Unprovoked seizures CategoriesEpilepsias y síndromes epilépticos

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Diagnosis and treatment of non-triggered single epileptic seizures

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