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Response III

Richard Dasheiff, MD

Arch Neurol. 1987;44(11):1190-1191.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

This article is in response to a recent CONTROVERSIES IN NEUROLOGY¹ dealing with the question of the appropriate treatment of a person who has a single seizure. Although considerable epidemiologic information was given in the original series of articles, I would like to propose a different risk/ benefit analysis to the situation and outline one epileptologist's approach to the problem.

When a person presents to the doctor after having had a "spell," it is incumbent on the physician to arrive at the appropriate diagnosis. In diagnosing a seizure and/or epilepsy, I refer to the International Classification of Seizures² and a recently published classification of epilepsy³ as a guideline. The history of the event obtained from the patient and an observer will produce an accurate diagnosis 95% of the time. The occurrence of a single primarily generalized convulsive seizure may be due to exogenous events such as . . . [Full Text PDF of this Article]

Author Affiliations
From the University of Pittsburgh Epilepsy Center.

Footnotes
Accepted for publication June 15, 1987.

Reprint requests to University of Pittsburgh Epilepsy Center, Medical Center Building, Room 625,3515 Fifth Avenue, Pittsburgh, PA 15213 (Dr Dasheiff).

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