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Seizures Emergencies (cont.)

Seizures Emergencies Follow-up

Seizures are often continuing concerns. It is important to keep any follow-up appointments or tests. Most patients are referred to a neurologist for follow-up

  • Until the seizures are well controlled, it is important to avoid driving or engaging in any other potentially dangerous activity that may cause you harm or harm to others if a seizure suddenly occurs.
  • Many states require mandatory reporting of seizures to state drivers' license bureaus and other regulatory agencies.
  • Many patients on seizure medications do very well and at some point in time decide to quit taking their antiseizure medication. This decision may be dangerous for themselves and others. Patients should not discontinue medications unless advised to do so by their physician.

Seizures Emergencies Prevention

For many people with recurrent seizures, one key to prevention is taking prescribed medication on a regular basis.

  • Failure to take antiseizure medications as prescribed is a common cause of recurrent seizures. Certain medical conditions or interaction with other medication can lead to temporary failure of the antiseizure medicine even if taken properly.
  • If the cause of the seizure is discovered, it is important to treat that condition and address whatever caused the seizure.

Seizures Emergencies Prognosis

The outlook for someone with seizures usually depends on the cause of the seizure. Investigation by a doctor is usually needed to discover the cause or at least exclude some causes.

  • Most seizures related to medications, drugs, or minor head injury, for example, resolve without specific treatments and do not indicate an ongoing seizure disorder or epilepsy.
  • Most other seizure disorders can be effectively managed with proper medications given under the guidance of your doctor or a specialist known as a neurologist.
  • Some seizure disorders are difficult to control despite medications and other therapies. This situation is rare.
  • A subclass of seizures is known as nonepileptic seizures or pseudoseizures. These are not truly epileptic seizures at all, but rather represent a condition in which someone has realistic-appearing seizures because of an underlying stress or psychological disorder. Prognosis for these is very good and is related entirely to resolving the person's underlying disorder with counseling, not antiseizure medications. This possibility should be considered in these cases:
    • When no cause of seizures can be found
    • If the seizures cannot be verified despite appropriate evaluation
    • If the seizures are resistant to appropriate medical therapies

Medically reviewed by Joseph Carcione, DO; American board of Psychiatry and Neurology

REFERENCE:

Baumann, Robert J. and Amy Kao. "Febrile Seizures." Medscape.com. 8 Jan. 2010. <http://emedicine.medscape.com/article/1176205-overview>.


Medically Reviewed by a Doctor on 5/12/2016
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