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Epilepsy is amongst the most frequently encountered of neurological disorders, yet its diagnosis and management is fraught with pitfalls. Issues surrounding differential diagnosis, seizure type, underlying causes, EEG interpretations, treatment options and prognoses can often trip-up clinicians. Common Epilepsy Pitfalls: Case-Based Learning, is a comprehensive guide to anticipating and managing the pitfalls in the diagnosis and management of epilepsy. Real-life cases are presented along with pragmatic recommendations for courses of action that guide the reader through accurate and effective epilepsy diagnosis and treatment. Cases have been chosen to answer key questions such as: the first seizure – is it epilepsy? Which drug? When should stopping treatment be considered? What to do in an epileptic emergency? Containing detailed coverage of psychiatric, social and family issues – and authored by world experts in epilepsy management – this text is invaluable for neurologists, internists, family practitioners and advanced medical students.
Acute seizures and status epilepticus (SE) are common in various types of acute brain injury. The proportion of patients presenting to the emergency department (ED) with new-onset seizures is estimated at 26%. Acute symptomatic seizures are referred to as provoked seizures, situation-related seizures, and reactive seizures. These are seizures that occur in close temporal relationship to a documented brain insult or at the time of an acute systemic insult. Epilepsy is a tendency toward unprovoked recurrent seizures and is the most common reason for seizure occurrences in the hospital. Most seizures that occur in adulthood are focal seizures that arise from disrupted lobar or hemispheric function. SE is the most feared complication for patients with seizures (PWS) because recurrent seizures and SE are more difficult to suppress than single seizures and can be life-threatening, especially when they occur as a primary complication of a neurological or organ system disease.