THE MANAGEMENT OF FIRST SEIZURES IN ADULTS IN A DISTRICT GENERAL-HOSPITAL

This study considered the management of first seizures in adults in St irling Royal Infirmary over a six month period. Thirty-four patients p resented of whom 19 were admitted to medical wards. Alcohol was implic ated in 35% of cases. Blood tests were done in many but provided littl e useful information. CT Scan was performed in 53% and was abnormal in 15% (five patients). EEG was requested for 21% and failed to influenc e management in any Six patients (18%) were started on anticonvulsant therapy. It was recorded in only three cases that advice on driving ha d been given. The literature concerning single seizures is complex, es pecially with regards to recurrence risk and treatment benefits We awa it with interest the publication of the SIGN (Scottish Intercollegiate Guidelines Network) guidelines for seizure investigation and treatmen t in Scotland.