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Early management of adults with an uncomplicated first generalised seizure

Abstract

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

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