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The first episode comprises one or several fits that first develop in a patient and may recur within 24 hours with a complete consciousness recovery between the fits. In addition to clinical characteristics, general somatic and neurological examinations, biochemical blood study, and brain electroencephalography and computed tomography or magnetic resonance imaging are recommended to define the prognosis of the first epileptic seizure and to elaborate therapeutic tactics. If the first acute symptomatic seizure (metabolic encephalopathy, acute central nervous system injury in patients with eliminable seizure-based condition) occurs, the disease that is a cause of the seizure should be treated. Symptomatic therapy for the first unprovoked seizure is unreasonable if only the seizure is not epileptic.

About the Author

G. I. Naumova
Center of Paroxysmal States, Vitebsk Regional Diagnosis Center


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For citation:

Naumova G.I. ORGANIZATION OF HEALTH CARE TO PATIENTS WITH NEW-ONSET CONVULSIVE SEIZURE. Neurology, Neuropsychiatry, Psychosomatics. 2009;1(2):37-41. (In Russ.)

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