What is the stepwise approach to evaluation of first adult seizure?

Updated: Nov 30, 2017
  • Author: Eissa Ibrahim AlEissa, MD, MBBS; Chief Editor: Selim R Benbadis, MD  more...
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This article focuses on 2 related questions, as follows:

  • Is the spell an epileptic seizure?

  • If the event is epileptic, is it likely to recur?

Thus, the stepwise approach should be the following:

  • Is it a seizure?

  • Is it epilepsy?

  • What kind of epilepsy?

  • What is the cause?

This article describes the common clinical features of patients with a first seizure, risk factors for seizure recurrence, and a general approach to management.

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