July 8, 2020
- When approaching the patient with uspected seizure, focus on questions that matter in determining if the event was a seizure or not
- Extensive lab work after a first time seizure is not necessary in patients who are back to baseline. Focus on serum glucose, determining pregnancy/postpartum status, and in patients who continue to seize, check that sodium!
- Get a CT of the Head on
- First-time seizure patients
- High-risk groups (alcoholics, immunocompromised, infants < 6 months of age)
- Those with an abnormal neuro exam
- Those presenting with focal seizures
- Psychogenic non-epileptic seizures are difficulty to distinguish from true epilepsy and there is significant overlap between the two conditions. Take all seizure activity seriously.
- Give clear discharge instructions to your first-time seizure patients and close the loop on close neurology follow-up.