LINES OF MANAGEMENT OF ACUTE SEIZURE

Introduction: Patients who present with a seizure for the first time are always distressed and worried regardless of being children or adults. Reports estimate that up to ten percent of the general population will suffer from a seizure at least once during their lifetime, with less than 50% of these patients developing other seizures. Therefore, and due to the relatively high prevalence of seizures, thorough assessment and proper evaluation of patients with seizures is considered important. In this article we will be discussing on how to properly assess, evaluate and diagnose a patient who has had at least one seizure. Aim of work: In this review, we will discuss the most recent evidence regarding the acute management of seizure. Methodology: We did a systematic search for acute management of seizure using PubMed search engine (http://www.ncbi.nlm.nih.gov/) and Google Scholar search engine (https://scholar.google.com). We only included full articles. Conclusions: Seizures are considered to be one of the important causes of presentation to the emergency department, with an overall 10% risk of developing a seizure during lifetime., proper management should be provided to treat the seizure and decrease the distress of the patient. Generally, the risk of recurrence will depend on the type of the seizure, the characteristics of the seizure, the clinical picture, and the age. Unprovoked seizures do not generally require treatment with anti-epileptic drugs, as they will stop after the provoking cause has been addressed. On the other hand, provoked seizures usually require initiation of anti-epileptic drugs. Key words: acute seizure, first seizure, management, emergency department