Suggested Pre-Referral Evaluation and Management Guidelines
First seizure should be evaluated in ED, assess worsening seizures for new seizure types, compliance and changes in sleep/hormones/stress
Suggested Additional Test/Management Prior to Specialty Visit
Obtain witnessed description of event, check anticonvulsant levels, CBC and SGOT/SGPT. Consider epilepsy-protocol brain MRI and EEG in patients with new seizures.(ED)
Patient Education/Information (includes preps)
1)
Avoid sleep deprivation, counsel about compliance, no driving 6 months after a seizure