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2018, Number 2

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Rev Clin Esc Med 2018; 8 (2)

Diagnóstico y Manejo de la Primera Convulsión

Sequeira QCM, Chang SJ

Language: Spanish
References: 27
Page: 11-21
PDF size: 417.66 Kb.


ABSTRACT

A seizure is defined as excesive and hypersynchronic electric brain activity that generates transitory neurologic symptoms, which must be differentiated among a wide range of potential neurologic and non-neurologic diagnosis. Seizures must be classified as focal or generalized, acute symptomatic or remote symptomatic and provoked and unprovoked. Not all patients that have a seizure will do so again. Every patient with a convulsive episode must receive an electroencephalogram and a magnetic resonance. The risk of recurrence after a first unprovoked seizure is 36% during the first year and 45% during the second year. Those who present with cortical abnormalities in image studies and epileptic activity in electroencephalogram will elevate this risk up to 60%. Treatment with antiepileptic drugs must be initiated in those patients that fulfill criteria for epilepsy and discussed in those with a single unprovoked seizure. After 2 years free of crisis discontinuation of drug therapy can be considered.


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