2008•Practical NeurologyRequires access
THE BARE ESSENTIALS: Epilepsy
Phil E M Smith
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Abstract
The diagnosis and management of epilepsy involves many disciplines, especially neurology, psychiatry, learning disability, general practice, paediatrics, geriatrics, emergency medicine and cardiology. A major challenge is to coordinate all the currently provided services. Epilepsy incidence is 5 per 10 000 per year. Among patients with suspected “first seizures”, most have syncope, many others have provoked seizures, especially by alcohol. Epilepsy prevalence is 7.5 per 1000. Among those prescribed antiepileptic drugs (AEDs) for recurrent episodes, 20% do not have epilepsy, most often psychogenic non-epileptic attacks.