Objective: First seizures are always challenging for physicians. Determining etiology, risk of recurrence, need for diagnostic electroencephalogram (EEG) or neuroimaging, balancing starting anti-seizure medication (ASM) versus its potential adverse effects, and addressing patient and family concerns about social or emotional impact in lifestyle issues is always demanding.
Method: a narrative review providing information from a database search between January 1970 to November 2020 was conducted, with the following search terms: first seizure, epidemiology, treatment, neuroimaging, electroencephalogram, impact, lifestyle.
Results: Incidence rates of single unprovoked seizures range from 23 to 64.1 /100000/person-years. The risk of recurrence depends on several clinical, etiological, EEG, and neuroimaging findings that should be approached on an individual basis. Initiating ASM is not generally advised, but shall be considered in individual situations. The emotional and social impact of single seizures must not be underestimated. Some interesting clues are pointing out at risks to present or prevent a first seizure.
Conclusion: Presentation of first seizure, diagnostic workup, treatment, and impact should be considered individually based on continuously updated knowledge of treating physicians.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.seizure.2021.03.027 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Cognitive interventions for healthy older adults: A systematic meta-review.
Int J Clin Health Psychol
January 2025
Pontifical Catholic University of Rio de Janeiro (PUC-Rio), Department of Psychology, Rio de Janeiro, RJ, Brazil.
Objectives: With increasing global life expectancy, cognitive interventions hold promise in mitigating cognitive decline and fostering healthy aging. Despite the demand for evidence-based interventions, there have been few attempts to summarize existing evidence. This study aims to assess the effectiveness and feasibility of unimodal and multimodal cognitive interventions for cognitively healthy older adults.
View Article and Find Full Text PDFObjectives: This study aims to define criteria for robotic reconstructive and functional urology credentialing using expert consensus. A recent narrative review identified a lack of standardised minimal requirements for performing robotic-assisted surgery procedures. The substantial variability or absence of a standardised curriculum and credentialing process within a highly specialised surgical field is often insufficient to guarantee surgeon proficiency and could potentially jeopardise patient safety.
View Article and Find Full Text PDFPrevalence of low back, pelvic girdle, and pelvic floor complaints in pregnant elite athletes: a narrative review.
J Can Chiropr Assoc
December 2024
Private practice, Waterloo, ON.
Objective: To investigate the prevalence of low back, pelvic girdle, and pelvic floor complaints in pregnant elite athletes.
Background: Common symptoms during pregnancy include low back pain, pelvic girdle pain, and pelvic floor dysfunction. There has been minimal investigation around the prevalence of these musculoskeletal disorders in the pregnant elite athlete.
Diagnostic inequalities relating to physical healthcare among people with mental health conditions: a systematic review.
EClinicalMedicine
February 2025
The Healthcare Improvement Studies (THIS) Institute, University of Cambridge, Cambridge, UK.
Background: Inaccurate diagnosis of physical health problems in people with mental health conditions may contribute to poorer health outcomes. We review the evidence on whether individuals with mental health conditions are at risk of diagnostic inequalities related to their physical health.
Methods: We searched MEDLINE, PsycINFO, Embase, and CINAHL, 1 September 2002-18 Septemebr 2024 (PROSPERO 2022: CRD42022375892).
A faunal inventory of methane seeps on the Pacific margin of Costa Rica.
Zookeys
January 2025
Scripps Institution of Oceanography, University of California San Diego, La Jolla, California, USA University of California San Diego La Jolla United States of America.
The methane seeps on the Pacific margin of Costa Rica support extensive animal diversity and offer insights into deep-sea biogeography. During five expeditions between 2009 and 2019, we conducted intensive faunal sampling via 63 submersible dives to 11 localities at depths of 300-3600 m. Based on these expeditions and published literature, we compiled voucher specimens, images, and 274 newly published DNA sequences to present a taxonomic inventory of macrofaunal and megafaunal diversity with a focus on invertebrates.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!