title: [Anticonvulsive Therapy after the First Unprovoked Seizure – Pros and Cons].
abstract: A first seizure is a critical life time event with severe consequences. A very thorough work-up is needed to find out the cause of the seizure and to number the risk of recurrence. Reasons for an anticonvulsive therapy are a pathologic EEG, a pathologic neurologic examination, the proof of a structural lesion, focal seizure onset or seizure onset while sleeping or classification as an epilepsy syndrome with high recurrence risk like juvenile myoclonic epilepsy or juvenile absence epilepsy. Psychological and social aspects like the patients or relatives fear of a further seizure, the risk of injury and occupational and recreational aspects must be considered as well. Reasons against an anticonvulsive therapy are mainly related to adverse effects like gain of weight and osteoporosis.
authors.affiliation: 1 Klinik für Neurologie, Kantonsspital St. Gallen.
authors.forename: Dominik
authors.initials: D
authors.lastname: Zieglgänsberger
authors.affiliation: 1 Klinik für Neurologie, Kantonsspital St. Gallen.
authors.forename: Barbara
authors.initials: B
authors.lastname: Tettenborn
mesh_terms: D000927:Anticonvulsants / Q000008:administration & dosage*; D001921:Brain / Q000187:drug effects / Q000473:pathology; D004569:Electroencephalography / Q000187:drug effects; D004827:Epilepsy / Q000145:classification / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D009460:Neurologic Examination / Q000187:drug effects; D012008:Recurrence; D012307:Risk Factors; D012640:Seizures / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology
chemical_list: D000927:Anticonvulsants
keywords: FIRST-Trial; MESS-Trial; anticonvulsive therapy; antikonvulsive Therapie; crise initiale; erster Anfall; first seizure; thérapie anticonvulsive; unprovoked; unprovoziert