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Jareonsettasin P, Kullmann D. Diagnosis and management of epilepsy in adults. Practitioner September 2022;266(1861):11-15

Diagnosis and management of epilepsy in adults

26 Sep 2022Pais-up subscribers

According to the International League Against Epilepsy, epilepsy can be diagnosed if any of the following criteria are met: at least two unprovoked seizures occurring on separate days (seizures within 24 hours count as one event); one unprovoked seizure with at least a 60% risk of recurrence over the next ten years on the basis of associated clinical factors (such as a recent stroke or brain tumour); diagnosis of a specific epilepsy syndrome. Convulsive events should be described rather than given a label. The EEG can establish the diagnosis of epilepsy and distinguish between focal and primary generalised epilepsy. An MRI brain scan is usually mandatory.

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