Managing Epilepsy and Seizures in the Emergency Department

From MD:

Emergency physicians and neurologists should feel comfortable managing all types of seizures that may occur in patients in the emergency department, according to a new review.

Investigators from the Columbia University Medical Center reviewed 5 case examples and discussed the emergency evaluation and management of all types of seizures, including new onset seizures, breakthrough seizures in patients with known epilepsy, status epilepticus, acute symptomatic seizures, and acute adverse effects of antiepileptic drugs (AEDs).

The study authors added that seizures account for 5% of calls to 911 and 1% of all emergency department visits. However, patients with epilepsy have more emergency department visits than the general population: 13% of adults and 22% of children with epilepsy take a trip to the emergency department annually.

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