Suggested Pre-Referral Evaluation and Management Guidelines
Partial seizures (loss of awareness, automatic behavior) not completely controlled with medical therapy.
Seizures related to a known brain abnormality (e.g. tumor, cyst, vascular malformation)
Suggested Additional Test/Management Prior to Specialty Visit
Obtain witnessed description of event, check anticonvulsant levels, CBC and SGOT/SGPT.
Patient Education/Information (includes preps)
1)
Avoid sleep deprivation and alcohol, counsel about compliance, no driving 6 months after a seizure
For newly-discovered brain abnormalities (e.g. tumor), appointment should be made within 1-2 weeks. For uncontrolled partial seizures, patient will be seen at next available epilepsy surgery program clinic (usually within 4-6 weeks).
How to Get Results to Consultant
UMHS Patients: See MiChart
External Patients: Hand carry non-UM records and CT/MRI films to visit
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