Scientific article
Open access

Première crise d'épilepsie : prise en charge pratique

Other titlePractical management of a first epileptic seizure
Published inRevue médicale suisse, vol. 15, no. 648, p. 853-856
Publication date2019-04-24

First seizures are a diagnostic challenge in the emergency room. The differential diagnosis includes epileptic seizures, syncopes and psychogenic non-epileptic seizures. Importantly, amongst first epileptic seizures, acute symptomatic seizures should be distinguished from unprovoked seizures that define epilepsy. The early accurate diagnosis of first seizures is an important issue because of the therapeutic and prognostic implications at stake. In addition to gathering a detailed history, some ancillary tests may be warranted early on in patients' management. In this article, we present some definitions and describe clinical and work up features that might help accurately classify and appropriately manage such cases in the emergency room.

  • Diagnosis, Differential
  • Electroencephalography
  • Emergency Service, Hospital
  • Epilepsy / complications
  • Epilepsy / diagnosis
  • Epilepsy / drug therapy
  • Humans
  • Seizures / drug therapy
  • Seizures / etiology
  • Syncope
Citation (ISO format)
BOUTHOUR, Walid, RYVLIN, Philippe, PICARD, Fabienne. Première crise d’épilepsie : prise en charge pratique. In: Revue médicale suisse, 2019, vol. 15, n° 648, p. 853–856.
Main files (1)
Article (Published version)
ISSN of the journal1660-9379

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