Diagnostic and therapeutic approach to patients with first seizure episode

Iván Alfredo De Ávila Consuegra 1, *, Abel Enrique Manjarres Guevara 2, Jennifer Patricia Vargas Gomez 1, Isaias Alberto Siado Palencia 1 and Hector Alexander Rodriguez Rojas 1

1 Department of Internal Medicine, Faculty of Health Sciences, Universidad Libre, Barranquilla, Colombia. 
2 Department of Medicine and Health Sciences, Universidad del Norte, Barranquilla, Colombia.
 
Review Article
World Journal of Advanced Research and Reviews, 2024, 27(01), 1530–1538
Article DOI: 10.30574/wjarr.2024.22.1.1210

 

Publication history: 
Received on 12 March 2024; revised on 17 April 2024; accepted on 20 April 2024
 
Abstract: 
Seizures are transient episodes of signs and/or symptoms resulting from abnormal, excessive or synchronous neuronal activity in the brain. About 8% to 10% of people will experience a seizure at some point in their lives, and of that group, about 2% to 3% will develop epilepsy. Given the impact that epilepsy can have on a person's quality of life and related medical, cognitive, or psychiatric conditions, it is crucial to perform a detailed evaluation when a patient presents an unprovoked first seizure episode. A seizure crisis must be distinguished from other events with a similar presentation, as the possible causes must be determined, to establish the need for adequate treatment, and establish a long-term prognosis.
 
Keywords: 
Seizure; Epilepsy; Seizure Physiology; Anticonvulsants; Seizure Treatment
 
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