Steps for the family doctor

  1. On the basis of the history and physical examination, be sure that the event was a first seizure
  2. Exclude acute provoking factors by history and screening laboratory tests
  3. Arrange electroencephalography and magnetic resonance imaging (if available)
  4. Review on an individual basis the risk of a recurrence and the potential social and psychological consequences of a recurrent seizure
  5. Review restrictions for the person's activities, especially for driving
  6. For unprovoked seizures, discuss but usually do not prescribe antiepileptic drug treatment
  7. Seek expert consultation for diagnosis of epilepsy syndrome and management of provoking factors

The first seizure and its management in adults and children