Managing seizures in the casualty department.

Mckee, P. J. W.; Wilson, E. A.; Dawson, Jonathan; J, Larkin; Brodie, MJ

doi:10.1136/bmj.300.6730.978

Cited by 25 publications

(12 citation statements)

References 2 publications

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“…However, a third of adults with a first seizure related to withdrawal from alcohol compares well with other surveys 1,3,6,11,13…”

Section: Discussionsupporting

confidence: 75%

“…Patients who have a generalised epileptic seizure for the first time are often seen first in a casualty department; the doctors who see them there are often unsure about further evaluation 3. Imaging of the brain, usually with computed tomography is recommended as part of the diagnostic investigation for every adult patient after a first convulsion 4,5.…”

Section: Introductionmentioning

confidence: 99%

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Indication for computed tomography of the brain in patients with first uncomplicated generalised seizure

Schoenenberger

Heim

1994

BMJ

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“…However, a third of adults with a first seizure related to withdrawal from alcohol compares well with other surveys 1,3,6,11,13…”

Section: Discussionsupporting

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Indication for computed tomography of the brain in patients with first uncomplicated generalised seizure

Schoenenberger

Heim

1994

BMJ

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“…Those presenting in the Accident & Emergency Department with a first seizure or untreated epilepsy were reviewed and arrangements made for their immediate referral to our “first seizure” service [118]. Letters were sent to all general practitioners working in the West of Scotland offering to see untreated patients within a week or two of referral.…”

Section: Psychiatric Comorbidities and Epilepsymentioning

confidence: 99%

Epilepsy, cognition, and neuropsychiatry (Epilepsy, Brain, and Mind, part 2)

Korczyn¹,

Schachter²,

Brodie³

et al. 2013

Epilepsy & Behavior

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Epilepsy is, of course, not one disease but rather a huge number of disorders that can present with seizures. In common, they all reflect brain dysfunction. Moreover, they can affect the mind and, of course, behavior. While animals too may suffer from epilepsy, as far as we know, the electrical discharges are less likely to affect the mind and behavior, which is not surprising. While the epileptic seizures themselves are episodic, the mental and behavioral changes continue, in many cases, interictally. The episodic mental and behavioral manifestations are more dramatic, while the interictal ones are easier to study with anatomical and functional studies. The following extended summaries complement those presented in Part 1.

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“…Unfortunately, 40% of patients fail to keep their follow-up appointments after being evaluated in an emergency room for a seizure (5).…”

mentioning

confidence: 99%

The Impact of a Single Seizure on Health Status and Health Care Utilization

Dworetzky¹,

Hoch²,

Wagner³

et al. 2000

Epilepsia

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Summary:Purpose: To assess the health status of patients after a single seizure.Methods: We compared single-seizure patients (SS) with patients who had well-controlled epilepsy (WC), and uncomplicated hypertension (HT). Patients were adults screened from emergency and outpatient units of two urban teaching hospitals using predefined criteria. The 83 patients (SS, 30; WC, 29; HT, 24) were interviewed by phone about functional status (SF-36), comorbid illness, cause of illness, number of visits to health providers, and drug side effects.Results: No significant differences were found among groups for health status, SF-36 domain, or occurrence of drug side effects. SS patients had significantly lower scores on vitality (p < 0.03) and a trend toward lower role physical function (p < 0.07) compared with age-adjusted population norms. SS reported more visits to health providers than WC or HT, and the number of visits remained high at interview 1 year later. Patient knowledge of the "reason" for the seizure was not associated with health status or number of visits.Conclusions: Health status of patients within I year of a single seizure is similar to that of patients with well-controlled epilepsy or hypertension, but SS patients have greater health care utilization.

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Managing seizures in the casualty department.

Cited by 25 publications

References 2 publications

Indication for computed tomography of the brain in patients with first uncomplicated generalised seizure

Indication for computed tomography of the brain in patients with first uncomplicated generalised seizure

Epilepsy, cognition, and neuropsychiatry (Epilepsy, Brain, and Mind, part 2)

The Impact of a Single Seizure on Health Status and Health Care Utilization

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