CC Nov 2017 First unprovoked seizure in adults

echoecho's version from 2017-12-26 06:32


Question Answer
Unprovoked seizures are a common presenting symptom in the ER accounting for ___- ___% of all ER visits?1; 2
What is the most common diagnosis among patients presenting with a first unprovoked seizure?new-onset epilepsy
Between ___ to ___% of people in the US experience an afebrile seizure and the prevalence of epilepsy is about ___%2; 5; 1
*** According to 2015 evidence-based guideline developed by the American Academy of Neurology and the American Epilepsy Society, patients should be informed what?that a first unprovoked seizure in an adult carries the greatest risk of recurrence within the following 2 years, at a rate of 21-45% of cases
The majority of risk for recurrent seizure occurs in the ___ year, although cumulative risk increases each year therafter?first
Between _________ and ____% of patients with unprovoked seizure will have another episode within 8 years?50%; 75%
List the facotrs that appear to increase the risk of recurrence?1) prior insult to the brain (esp a stroke or trauma) 2) an EEG finding with epileptiform abnormalities (with epileptiform abnormalities, a significant structural findings on neuroimaging and nocturnal seizures
*** What are recommendations in treatment of a first unprovoked seizure?1) immediate neuroimaging 2) determination of glucose and sodium levels 3) LP among immunocompromised patients 4)patietn with suspected CNS infection
*** _____ is indicated for all patients following a first seuzre?EEG