[Update on Current Care Guideline: epilepsies (adult].
First epileptic seizure is an indication for an urgent referral to a neurology care unit. Diagnosis of epilepsy is based on medical history and clinical examination, supplemented with MRI, EEG and laboratory tests. Exact diagnosis of the epilepsy type and etiology are the basis of the treatment. Patient education improves outcomes. The goal is complete long-term seizure control without significant adverse effects. Antiepileptic medication is usually initiated after the second epileptic seizure. If the patient does not respond to two appropriate drug schedules, patient should be evaluated for surgical treatment options.
Reetta
R
Kälviäinen
Hanna
H
Ansakorpi
Sanna
S
Flander
Arto
A
Immonen
Tapani
T
Keränen
Juho
J
Kivistö
Jukka
J
Peltola
D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D004569:Electroencephalography; D004827:Epilepsy / Q000175:diagnosis* / Q000628:therapy*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic
D000927:Anticonvulsants