ORGANIZATION OF HEALTH CARE TO PATIENTS WITH NEW-ONSET CONVULSIVE SEIZURE
https://doi.org/10.14412/2074-2711-2009-36
Abstract
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
Belarus
Belarus
References
1. <div><p>Hirtz D., Berg A., Bettis D. et al. Practice parameter: Treatment of the child with a first unprovoked seizure: Report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child neurology Society Neurology 2003; 60:166-75.</p><p>Beghi E. The management of a first seizure - Still a major debate. Epilepsia 2008; 49(Suppl.</p><p>Perrig S., Jallon P. Is the first seizure truly epileptic? Epilepsia 2008; 49(Suppl. 1):2-7.</p><p>Hauser W. Allen, Beghi E. First seizure definitions and worldwide incidence and mortality. Epilepsia 2008; 49(Suppl. 1):8-12.</p><p>Anne T. Berg. Risk of recurrence after a first unprovoked seizure. Epilepsia 2008; 49(Suppl. 1):13-8.</p><p>Pohlmann-Eden B., Newton M. First seizure: EEG and neuroimaging following an epileptic seizure. Epilepsia 2008; 49(Suppl. 1)19-25.</p><p>Beghi E., Giovanni De Maria, Gobbi G. et al. Diagnosis and treatment of the First Epileptic Seizure: Guidelines of the Italian League Against epilepsy. Epilepsia 2006; 47(Suppl. 5):2-8.</p><p>Hirtz D., Ashwal S., Berg A. et al. Practice parameter: Evaluating a first nonfebrile seizure in children: Report of the Quality Standards Subcommittee of the American Academy of Neurology, the Child Neurology Society, and the American Epilepsy Society. Neurology 2000; 55:616-23.</p><p>David W. Chadwick. The treatment of the first seizure: the benefits. Epilepsia 2008; 49(Suppl. 1):26-8.</p><p>Perucca E. The treatment of the first seizure: The risks. Epilepsia 2008; 49(Suppl. 1):29-34.</p><p>Beghi E. General conclusions and recommendations. Epilepsia 2008; 49(Suppl. 1):58-61.</p><p>Dominic C. Heaney, Gail S. Bell, Josemir W. Sander. The socioeconomic, cultural and emotional implications of starting or withholding treatment in a patient with a first seizure. Epilepsia 2008; 49(Suppl. 1):35-9.</p><p>Linda J. Stephen, Martin J. Brodie. Special problems: Adults and elderly. Epilepsy 2008; 49(Suppl. 1):45-9.</p></div><br />
Review
For citations:
Naumova GI. ORGANIZATION OF HEALTH CARE TO PATIENTS WITH NEW-ONSET CONVULSIVE SEIZURE. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2009;1(2):37-41. (In Russ.) https://doi.org/10.14412/2074-2711-2009-36
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