2019, Number 2
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Rev Mex Neuroci 2019; 20 (2)
Clinical guideline: management of seizures in the emergency room
Visoso-Franco J, Romero-Ocampo L, Santos-Zambrano JA, Serrano-González A, Castro-Martínez E
Language: English
References: 13
Page: 69-75
PDF size: 227.24 Kb.
ABSTRACT
This clinical guideline on epilepsy contains levels of evidence and recommendations based on the scientific method. Its
primary function is to provide emergency medicine physicians a clear diagnostic approach when faced with a pediatric or
adult patient with epileptic seizures (ES) or epilepsy. The objective is to unify criteria that will guarantee integral health care,
based on adequate decision-making, benefiting the patient through the individualized analysis of proper anamnesis, physical
examination, precise indication of laboratory, and image diagnostic tests that yield the pertinent clinical and pharmacological
treatment for opportune interventions, avoiding complications, and whenever possible, the recurrence of the ES.
REFERENCES
Cerdá JM, Argani MT, Llerda JA, et al. Guía oficial de la sociedad española de neurología de práctica clínica en epilepsia. Neurología. 2016;31:121-9.
Pallin DJ, Goldstein JN, Moussally JS, et al. Seizure visits in US emergency departments: epidemiology and potential disparities in care. Int J Emerg Med. 2008;1:97-105.
Martindale JL, Goldstein JN, Pallin DJ. Emergency department seizure epidemiology. Emerg Med Clin North Am. 2011;29:15-27.
National Clinical Guideline Centre (UK). The Epilepsies: the Diagnosis and Management of the Epilepsies in Adults and Children in Primary and Secondary Care: pharmacological Update of Clinical Guideline 20. London: Royal College of Physicians (UK) (NICE Clinical Guidelines, No. 137); 2012.
Solari BF. Crisis epilépticas en la población infantil. Rev Med Clin Condes. 2011;22:647-54.
Sociedad Andaluza de Epilepsia. Guía Andaluza de Epilepsia. Barcelona: Sociedad Andaluza de Epilepsia; 2015. p. 484.
Scottish Intercollegiate Guidelines Network (SIGN). Diagnosis and Management of Epilepsy in Adults. Edinburgh: Scottish Intercollegiate Guidelines Network; 2015.
Ghofrani M. Approach to the first unprovoked seizure-PART I. Iran J Child Neurol. 2013;7:1-5.
Aprahamian N, Harper MB, Prabhu SP, et al. Pediatric first time non-febrile seizure with focal manifestations: is emergent imaging indicated? Seizure. 2014;23:740-5.
Michoulas A, Farrell K, Connolly M. Approach to a child with a first afebrile seizure. BCMJ. 2011;53:274-7.
Bergey GK. Management of a first seizure. Continuum (Minneap Minn). 2016;22:38-50.
Leone MA, Giussani G, Nolan SJ, Marson AG, Beghi E. Immediate antiepileptic drug treatment, versus placebo, deferred, or no treatment for first unprovoked seizure. Cochrane Database Syst Rev. 2016;5:CD007144.
Krumholz A, Wiebe S, Gronseth GS, et al. Evidence-based guideline: management of an unprovoked first seizure in adults: report of the guideline development subcommittee of the American academy of neurology and the American epilepsy society. Epilepsy Curr. 2015;15:144-52.