Initial Evaluation of the Patient with Suspected Epilepsy

Nathalie Jetté, Samuel Wiebe

Research output: Contribution to journalReview articlepeer-review

9 Scopus citations

Abstract

The initial evaluation of the patient with suspected epilepsy is multifaceted and includes a careful history, diagnostic evaluation (EEG and brain imaging) and prompt referral to an epilepsy specialist to clarify seizure types and epilepsy syndrome. Screening for mental health conditions also should be considered, along with neurocognitive testing when deficits of language, memory, learning, attention, or executive function are present or when MRI shows involvement of brain regions implicated in cognitive function. In this review, we examine the approach to the initial evaluation of those with new-onset unprovoked seizures and possible epilepsy.

Original languageEnglish
Pages (from-to)339-350
Number of pages12
JournalNeurologic Clinics
Volume34
Issue number2
DOIs
StatePublished - 1 May 2016
Externally publishedYes

Keywords

  • Definition of epilepsy
  • Differential diagnosis
  • Investigation
  • Misdiagnosis
  • Neuro-cognitive outcomes
  • Newly diagnosed
  • Psychiatric comorbidity
  • Referral

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