What To Do After a First Seizure?

  • Horst Urbach
Part of the Medical Radiology book series (MEDRAD)


 This chapter describes the workup with MRI after a first seizure, which is highly dependent on the type of the seizure and the age at presentation.


Focal Seizure Clonic Seizure Epilepsy Syndrome Unprovoked Seizure Symptomatic Seizure 
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  1. Beghi E (2008) Management of a first seizure. General conclusions and recommendations. Epilepsia 49(Suppl 1):58–61. doi: 10.1111/j.1528-1167.2008.01452.x PubMedCrossRefGoogle Scholar
  2. Berg AT, Shinnar S (1991) The risk of seizure recurrence following a first unprovoked seizure: a quantitative review. Neurology 41(7):965–972PubMedCrossRefGoogle Scholar
  3. Herman ST (2004) Single unprovoked seizures. Current treatment options in neurology 6(3):243–255PubMedCrossRefGoogle Scholar
  4. Hirtz D, Ashwal S, Berg A, Bettis D, Camfield C, Camfield P, Crumrine P, Elterman R, Schneider S, Shinnar S (2000) Practice parameter: evaluating a first nonfebrile seizure in children. Report of the Quality Standards Subcommittee of the American Academy of Neurology, the Child Neurology Society, and the American Epilepsy Society. Neurology 55(5):616–623PubMedCrossRefGoogle Scholar
  5. King MA, Newton MR, Jackson GD, Fitt GJ, Mitchell LA, Silvapulle MJ, Berkovic SF (1998) Epileptology of the first-seizure presentation: aclinical, electroencephalographic, and magnetic resonance imaging study of 300 consecutive patients. Lancet 352(9133):1007–1011. doi: 10.1016/S0140-6736(98)03543-0 PubMedCrossRefGoogle Scholar
  6. Krumholz A (1999) Nonepileptic seizures: diagnosis and management. Neurology 53(5 Suppl 2):S76–S83PubMedGoogle Scholar
  7. Krumholz A, Wiebe S, Gronseth G, Shinnar S, Levisohn P, Ting T, Hopp J, Shafer P, Morris H, Seiden L, Barkley G, French J (2007) Practice parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review). Report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society. Neurology 69(21):1996–2007. doi: 10.1212/01.wnl.0000285084.93652.43 PubMedCrossRefGoogle Scholar
  8. Pohlmann-Eden B, Newton M (2008) First seizure: EEG and neuroimaging following an epileptic seizure. Epilepsia 49(Suppl 1):19–25. doi: 10.1111/j.1528-1167.2008.01445.x PubMedCrossRefGoogle Scholar
  9. Schreiner A, Pohlmann-Eden B (2003) Value of the early electroencephalogram after a first unprovoked seizure. Clin Electroencephalogr 34(3):140–144PubMedGoogle Scholar
  10. Wiebe S, Tellez-Zenteno JF, Shapiro M (2008) An evidence-based approach to the first seizure. Epilepsia 49(Suppl 1):50–57. doi: 10.1111/j.1528-1167.2008.01451.x PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Department of NeuroradiologyUniversity Hospital FreiburgFreiburgGermany

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