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Management of an unprovoked 1st seizure in adults

from JAMA: The Journal of the American Medical Association

Approximately 150,000 adults present each year with an unprovoked first seizure in the United States, although less than half have a readily apparent cause. It is important to distinguish seizures from events that can mimic epilepsy, such as syncope, movement disorders and toxic-metabolic encephalopathy, and recognize that transient factors that temporarily lower seizure threshold in an otherwise normal brain do not establish a diagnosis of epilepsy. more

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