Epilepsy: management principles
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Epilepsy: management principles. Assess suspected seizures urgently, Review people with epilepsy at least annually. Fully referenced neurology checklist.
Management framework
- Assess suspected seizures urgently
- Review people with epilepsy at least annually
- Institute a comprehensive care plan
- Individualise antiepileptic drugs (AEDs)
- Refer to tertiary centres if the seizures are not controlled
Community epilepsy protocol
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Indications for calling an ambulance
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Indications for tertiary referral
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Consider epilepsy co-morbidities
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Definitions of epilepsy resolution
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References
- The epilepsies: the diagnosis and management of the epilepsies in adults and children in primary and secondary care. NICE Clinical Guideline [CG137]. January 2012.
- Keezer MR, Sisodiya SM, Sander JW. Comorbidities of epilepsy: current concepts and future perspectives. Lancet Neurol 2016; 15:106-115.
- Vonberg FW, Bigdeli TB. Genetic correlation between schizophrenia and epilepsy. JAMA Neurol 2016; 73:125-126.
- Fisher RS, Acevedo C, Arzimanoglou A, et al. ILAE Official Report: a practical clinical definition of epilepsy. Epilepsia 2014; 55:475-482.
