Starting antiepileptic drugs

Kristen Marie Kathryn Kelly, Gregory D Cascino

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

A 44-year-old male experienced a single, unprovoked, generalized tonic-clonic seizure at 5:30 a.m. The seizure duration was approximately 2 min with gradual recovery following a postictal state. There was no prior history of seizures or predisposing neurological conditions or comorbidity. The only risk factor for epilepsy included a concussion as a child while playing sports. Additionally, the patient did have a sibling with childhood absence epilepsy. The patient was not on prescription medication at the time of the seizure. There was no history of alcohol abuse or illicit drug use. At the time, he was employed, operated a motor vehicle, and was married with two children. Upon evaluation in the emergency department, a CT of the head was normal. An EEG performed several hours after the seizure showed bitemporal independent sharp waves (Fig. 15.1). Other than complaining of a mild headache, myalgias, and a "sore tongue" the patient appeared to be doing well at the time of dismissal from the emergency department. An MRI head was subsequently performed and was unremarkable.

Original languageEnglish (US)
Title of host publicationEpilepsy Case Studies: Pearls for Patient Care
PublisherSpringer International Publishing
Pages63-66
Number of pages4
ISBN (Print)9783319013664, 3319013653, 9783319013657
DOIs
StatePublished - Nov 1 2013

ASJC Scopus subject areas

  • Medicine(all)

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