First seizure presentation: do multiple seizures within 24 hours predict recurrence?
We compared clinical features and prognosis of 72 adults with a first-ever seizure presentation comprising multiple discrete seizures within 24 hours to 425 patients presenting with a single seizure. Those presenting with multiple seizures were no more likely to have seizure recurrence, irrespective of etiology or treatment. Hence, a presentation with multiple seizures within 24 hours should be regarded as a single event, in keeping with the International League Against Epilepsy recommendations.
Kho
Lay Kun
LK
W.A. Adult Epilepsy Centre, Royal Perth Hospital, Western Australia, Australia. laykunkho@yahoo.com.au
Lawn
Nicholas D
ND
Dunne
John W
JW
Linto
Jennie
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004569:Electroencephalography / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D011237:Predictive Value of Tests; D012008:Recurrence; D012189:Retrospective Studies; D012640:Seizures / Q000145:classification* / Q000175:diagnosis*; D018709:Statistics, Nonparametric; D013997:Time Factors