Special problems: Adults and elderly

摘要: A first seizure out of a clear blue sky can be major life-changing event. Careful history-taking and appropriate investigation together with explanation provided to patient family are an essential requirement. Although for most patients, pharmacotherapy withheld events awaited, there circumstances where introduction antiepileptic drug (AED) therapy should considered. Medical causes seizures also sought treated. In addition, in HIV-positive patients those underlying neurocysticercosis usually provoke the AED therapy. Particular problems occur single episode provoked status epilepticus, tonic-clonic during pregnancy and, particularly, unprovoked event older learning disabled people. Treatment following balance risk factors recurrence informed opinion their family.