Audio Clinical Professionals

Post-Traumatic and Symptomatic Seizures: Practical Risk Stratification

This session reviews Post-Traumatic and Symptomatic Seizures: Practical Risk Stratification and its most clinically relevant points for exam preparation and bedside decision-making.

This resource is private and requires a subscriber login to stream. SIGN IN to continue.

Duration

00:03:09

File size

0.72 MB

Practitioner-Guided Note

For Post-Traumatic and Symptomatic Seizures: Practical Risk Stratification, focus on Severe head injury: ~12% develop PTE (higher with intracranial lesions or LOC >24h), Early post-trauma seizures → 25-35% develop late PTE, and Prophylactic AEDs reduce acute seizures week 1 but do NOT prevent long-term PTE when choosing therapy, counseling about risk, planning monitoring, and deciding when closer follow-up or escalation is needed.

Key Takeaways

Severe head injury: ~12% develop PTE (higher with intracranial lesions or LOC &gt,24h); Early post-trauma seizures → 25-35% develop late PTE; Prophylactic AEDs reduce acute seizures week 1 but do NOT prevent long-term PTE; Alcohol withdrawal: GTCS within 48h of cessation, normal EEG, treat with IV benzos, rare after day 7; Cocaine/amphetamines: most common recreational drug seizure triggers