[Clinical approach to the first epileptic crisis in adults].
Seizures are one of the main reasons for visits to emergency and neurology. Represent a traumatic event with potential medical and social consequences. A first epileptic seizure, can be the initial manifestation of malignancy, systemic disorder or infection, but can also be the first manifestation of epilepsy. The misdiagnosis of symptomatic seizures and unprovoked seizure, significantly affects prognosis and patient outcomes. The aim of this review is to examine the general concepts that enable successful diagnostic and therapeutic approach to the patient presenting with a first epileptic seizure.
Universidad La Sabana, Bogota DC, Colombia.
Camilo Alfonso
CA
Espinosa-Jovel
Fidel Ernesto
FE
Sobrino-Mejía
D000328:Adult; D017668:Age of Onset; D000368:Aged; D000465:Algorithms; D000927:Anticonvulsants / Q000627:therapeutic use; D002494:Central Nervous System Infections / Q000150:complications / Q000175:diagnosis; D002561:Cerebrovascular Disorders / Q000150:complications / Q000175:diagnosis; D003937:Diagnosis, Differential; D004569:Electroencephalography; D004827:Epilepsy / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology / Q000378:metabolism; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008659:Metabolic Diseases / Q000150:complications / Q000175:diagnosis; D008875:Middle Aged; D008881:Migraine Disorders / Q000175:diagnosis; D009369:Neoplasms / Q000150:complications / Q000175:diagnosis; D059906:Neuroimaging; D011041:Poisoning / Q000150:complications / Q000175:diagnosis; D012008:Recurrence; D020919:Sleep Disorders, Intrinsic / Q000175:diagnosis; D013575:Syncope / Q000175:diagnosis
D000927:Anticonvulsants