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Academia Mexicana de Neurología, A.C.

2019, Number 2

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Rev Mex Neuroci 2019; 20 (2)

Clinical guideline: management of the first unprovoked epileptic seizure in adults and children

Gien-López JA, Cuevas-Escalante RA, García-Cuevas E, Márquez-Estudillo MR, Villaseñor-Anguiano BE, Leal-Cantú R, Jiménez-Arredondo RE

Language: English
References: 33
Page: 76-81
PDF size: 114.37 Kb.


ABSTRACT

Unprovoked seizures represent a challenge in the neurological clinical consult. Identifying a first unprovoked seizure is the first step for an adequate medical approach, for which there are different diagnostic tools that help establish the risk of a second seizure, as well as recurrence factors for a first unprovoked epileptic seizure (UES) or diagnose epilepsy. Pharmacological treatment for a first UES and key points for referral to specialists are similarly established, and we move forward to the reference for the next level of medical attention. In this section we also describe nonmedical recommendation for patients and family members after a first UES. This Mexican Guideline was elaborated accounting for the resources and diagnostic tools available in both public and private hospitals in Mexico.


REFERENCES

  1. Martinez-Juarez IE, Moreno J, Ladino LD, et al. Diagnóstico y tratamiento de la crisis epiléptica única no provocada. Rev Neurol. 2016;63:165-75.

  2. Sociedad Andaluza de Epilepsia. Guia Andaluza de Epilepsia. Viguera: Sociedad Andaluza de Epilepsia; 2015.

  3. Guía de Práctica Clínica, Diagnóstico y Tratamiento de la Epilepsia en el Adulto en el Primer y Segundo Nivel de Atención. Actualización; 2015.

  4. Tao JX, Davis AM. Management of an unprovoked first seizure in adults. JAMA. 2016;316:1590-1.

  5. Pohlmann-Eden B, Beghi E, Camfield C, Camfield P. The first seizure and its management in adults and children. BMJ. 2006;332:339-42.

  6. 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. Neurology. 2015;84:1705-13.

  7. Angus-Leppan H. First seizures in adults. BMJ. 2014;348:g2470.

  8. Rosenow F, Klein KM, Hamer HM. Non-invasive EEG evaluation in epilepsy diagnosis. Expert Rev Neurother. 2015;15:425-44.

  9. Britton JW, Frey LC, Hopp JL, et al. Electroencephalography (EEG): an Introductory Text and Atlas of Normal and Abnormal Findings in Adults, Children, and Infants. Chicago: American Epilepsy Society; 2016.

  10. Berg AT, Shinnar S. The risk of seizure recurrence following a first unprovoked seizure: a quantitative review. Neurology. 1991;41:965-72.

  11. Chen T, Si Y, Chen D, et al. The value of 24-hour video-EEG in evaluating recurrence risk following a first unprovoked seizure: a prospective study. Seizure. 2016;40:46-51.

  12. Ho K, Lawn N, Bynevelt M, Lee J, Dunne J. Neuroimaging of first-ever seizure: contribution of MRI if CT is normal. Neurol Clin Pract. 2013;3: 398-403.

  13. Sofat P, Teter B, Kavak KS, Gupta R, Li P. Time interval providing highest yield for initial EEG in patients with new onset seizures. Epilepsy Res. 2016;127:229-32.

  14. Askamp J, van Putten MJ. Diagnostic decision-making after a first and recurrent seizure in adults. Seizure. 2013;22:507-11.

  15. Gavvala JR, Schuele SU. New-onset seizure in adults and adolescents: a review. JAMA. 2016;316:2657-68.

  16. Giorgi FS, Guida M, Caciagli L, et al. What is the role for EEG after sleep deprivation in the diagnosis of epilepsy? Issues, controversies, and future directions. Neurosci Biobehav Rev. 2014;47:533-48.

  17. Fisher RS, Acevedo C, Arzimanoglou A, Bogacz A, Cross JH, Elger CE, et al. Appendix A: summary of evidence-based guideline for clinicians: management of an unprovoked first seizure in adults. Continuum (Minneap Minn). 2016;22:281-2.

  18. Rizvi S, Ladino LD, Hernandez-Ronquillo L, Téllez-Zenteno JF. Epidemiology of early stages of epilepsy: risk of seizure recurrence after a first seizure. Seizure. 2017;49:46-53.

  19. Shinnar S, Berg AT, Moshe SL, et al. The risk of seizure recurrence after a first unprovoked afebrile seizure in childhood: an extended follow- up. Pediatrics. 1996;98:216-25.

  20. Bouma HK, Labos C, Gore GC, Wolfson C, Keezer MR. The diagnostic accuracy of routine electroencephalography after a first unprovoked seizure. Eur J Neurol. 2016;23:455-63.

  21. Ramos Lizana J, Cassinello Garciá E, Carrasco Marina LL, et al. Seizure recurrence after a first unprovoked seizure in childhood: a prospective study. Epilepsia. 2000;41:1005-13.

  22. Brown JW, Lawn ND, Lee J, Dunne JW. When is it safe to return to driving following first-ever seizure? J Neurol Neurosurg Psychiatry. 2015;86:60-4.

  23. NICE Clinical Guideline 137, The Epilepsies: the Diagnosis and Management of the Epilepsies in Adults and Children in Primary and Secondary Care; 2012.

  24. 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.

  25. Gloss DS, Krumholz A. Managing an unprovoked first seizure in adults. CNS Drugs. 2016;30:179-83.

  26. Guía de Practica Clinica IMSS. Diagnóstico y Tratamiento de la Primera Crisis Convulsiva Niñas, Niños y Adolescentes Primero y Segundo Nivel de Atención; 2017.

  27. Wilmshurst JM, Gaillard WD, Vinayan KP, et al. Summary of recommendations for the management of infantile seizures: task force report for the ILAE commission of pediatrics. Epilepsia. 2015;56:1185-97.

  28. Arkilo D, Griesemer D, Padulsky K, et al. Urgent referrals for seizure evaluation to a tertiary care neurology center: a pilot study. J Child Neurol. 2012;27:885-7.

  29. Huff JS, Morris DL, Kothari RU, Gibbs MA, Emergency Medicine Seizure Study Group. Emergency department management of patients with seizures: a multicenter study. Acad Emerg Med. 2001;8:622-8.

  30. Krumholz A, Grufferman S, Orr ST, Stern BJ. Seizures and seizure care in an emergency department. Epilepsia. 1989;30:175-81.

  31. Brinar V, Bozicevic D, Zurak N, et al. Epileptic seizures as a symptom of various neurological diseases. Neurol Croat. 1991;40:93-101.

  32. Jackson A, Teo L, Seneviratne U. Challenges in the first seizure clinic for adult patients with epilepsy. Epileptic Disord. 2016;18:305-14.

  33. Millichap JJ, Millichap JG. Child neurology: past, present, and future: part 1: history. Neurology. 2009;73:e31-3.




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