Treatment of first seizure in adults: A comprehensive approach integrating 10 key principles

► Assessment of first seizure should be comprehensive and systematic. ► History taking including collateral history is of paramount importance. ► Diagnostics should include early routine/sleep deprived EEG, emergency CT, epilepsy protocol MRI. ► “Treatment” includes extensive counseling of social issues, diagnosis, and prognosis. ► AED initiation-usually after 2 seizures-follows epilepsy syndrome and is individualized.