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Escribá de la Fuente A, Elorz Ibáñez AC, Fernández Santervás Y, Quintillá Martínez JM, Ortez González CI, Luaces Cubells C
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Protocols for the emergency medical management of epileptic seizures are available.
However, for children with a diagnosis of epilepsy who recover their baseline
neurological status after one or more seizures, there is a lack of consensus on follow-up
care (eg, the need to order complementary tests or not, or where to refer the patient).
We reviewed the cases of 164 patients with epilepsy who came to the emergency
department with one or more seizures. The aim was to assess patient profile, the
ordering of additional tests and whether the tests proved useful for managing the case.
Sixty percent of the patients sought emergency care after a single seizure that resolved
before arrival at the hospital. Blood tests were done in 29.9% (all were normal) and
antiepileptic drug levels were measured in 22% (36.1% were too low). Although testing
for antiepileptic drug concentrations offers the highest diagnostic yield, this test is
subject to certain limitations that lead to reduced use.
