Article Text

Download PDFPDF
Early management of adults with an uncomplicated first generalised seizure


A literature review of first seizures in adults was performed and a management algorithm was constructed. This review highlights the importance of a thorough history and examination, routine biochemistry and haematology, an electrocardiogram, selected neuroimaging, discharge planning with driving and lifestyle advice, and follow-up in a specialist clinic.

  • ACEP, American College of Emergency Physicians
  • CT, computer tomography
  • DDA, Disability Discrimination Act
  • DVLA, Driving and Vehicle Licensing Agency
  • ED, emergency department
  • ECG, electrocardiogram
  • EEG, electroencephalogram
  • FIRST Group, First Seizure Trial Group
  • GGT, gamma-glutamyl transpeptidase
  • MCV, mean cell volume
  • MESS, Medical Research Council Multicentre Study of Early Epliepsy and Single Seizure
  • MRI, magnetic resonance imaging
  • SIGN, Scottish Intercollegiate Guidelines Network
  • seizure
  • guideline
  • adult
  • emergency medicine

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles

  • Primary Survey
    Colville Laird