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Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Epilepsy secondary prevention

Introduction

Overview

Overview

Effective measures for the secondary prevention of epilepsy include early diagnosis and effective treatment.

Secondary Prevention

Secondary Prevention

  • Effective measures for the secondary prevention of epilepsy include:
  • Early diagnosis:
    • Epilepsy can be diagnosed based on history, symptoms and physical examination of a patient with seizure complain.[1]
    • Among the patients who present with clinical signs of seizure, the EEG is the most efficient test for diagnosis.
    • Video-EEG monitoring is a combination of recording EEG and clinical behavior of the patient. Although it’s more expensive, it is more effective in differentiating different type if seizures.[2]
    • With the first seizure, in order to reach a diagnosis and find out the etiology of seizure, we should perform ancillary testing such as:[1][3][4]

NOTE: For more information, click here

  • Effective treatment: For more information, click here and here.
    References

    References

    1. ↑ 1.0 1.1 Mattle, Heinrich (2017). Fundamentals of neurology : an illustrated guide. Stuttgart New York: Thieme. ISBN 9783131364524.
    2. ↑ Worrell GA, Lagerlund TD, Buchhalter JR (September 2002). “Role and limitations of routine and ambulatory scalp electroencephalography in diagnosing and managing seizures”. Mayo Clin. Proc. 77 (9): 991–8. doi:10.4065/77.9.991. PMID 12233935.
    3. ↑ Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J (November 2007). “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. 69 (21): 1996–2007. doi:10.1212/01.wnl.0000285084.93652.43. PMID 18025394.
    4. ↑ Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J (November 2007). “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. 69 (21): 1996–2007. doi:10.1212/01.wnl.0000285084.93652.43. PMID 18025394.

    Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.