Epileptic Seizures: the challenge continues


Introduction: Epilepsy is one of the most prevalent primary central nervous system diseases in the world. This pathology is classified into two principal axes: topographic and etiological. In most cases, the diagnosis of an epileptic seizure can be made clinically by obtaining a detailed history and general physical examination, with neurological and psychiatric emphasis. Methods: This is the literature review study, whose bibliographic research was carried out in Pubmed, Scopus, Scielo and Web of Science. The descriptors used epilepsy, seizure disorder, tonic-clonic seizure syndrome; status epilepticus, grand mal status epilepticus and treatment outcome. The inclusion criteria, were selected articles published in English, Spanish and Portuguese; Randomized Clinical Trials / Clinical Trial), Guidelines (Guideline), Systematic Reviews, Reviews and Meta-Analysis. Results: The investigation and follow-up of the first convulsive crisis differ from that in patients with epilepsy. If necessary, the choices of antiepileptics should be made according to the type of crisis, comorbidities, and socioeconomic conditions. Conclusions: This study aimed to review and discuss, in a practical way, a therapeutic approach to epileptic seizures.

Epilepsy. Seizure disorder. Tonic-clonic seizure syndrome. Status epilepticus. Grand mal status epilepticus. Treatment outcome

Renato Serquiz e Pinheiro, Yanny Cinara Ernesto;
Lucidio Clebeson de Oliveira;
Luciana Cristina Borges Fernandes;
Amália Cinthia Meneses do Rêgo;
Irami Araújo-Filho and Fausto Pierdoná Guzen

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