Indications for treatment of first seizures

Evidence-based neurology checklist on indications for treatment of first seizures: High seizure recurrence risk factors Structural cause Abnormal electroencephalogram (EEG) First seizure occurring in sleep High injury risk factors High socioeconomic loss risk factors

High seizure recurrence risk factors

  • Structural cause
  • Abnormal electroencephalogram (EEG)
  • First seizure occurring in sleep

High injury risk factors

High socioeconomic loss risk factors

References

  1. Pohlmann-Eden B, Beghi E, Camfield C, Camfield P. The first seizure and its management in adults and children. BMJ 2006; 332:339-342.
  2. Krumholz A, Wiebe S, Gronseth G, et al. Practice parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review). Report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society. Neurology 2007; 69:1996-2007.
  3. Seneviratne U. Management of the first seizure: an evidence based approach. Postgrad Med J 2009; 85:667-673.

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