Audio Clinical Professionals

Seizure Recurrence Risk and Core Diagnostic Testing

This session reviews Seizure Recurrence Risk and Core Diagnostic Testing and its most clinically relevant points for exam preparation and bedside decision-making.

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Duration

00:02:56

File size

1.66 MB

Practitioner-Guided Note

For Seizure Recurrence Risk and Core Diagnostic Testing, watch for Single unprovoked seizure: 40-50% adult recurrence risk; 25% within 2 years, Normal neuro exam + clear imaging + normal EEG → best prognosis, and 20-30% of epilepsy individuals medically intractable when choosing therapy, counseling about risk, planning monitoring, and deciding when closer follow-up or escalation is needed.

Key Takeaways

Single unprovoked seizure: 40-50% adult recurrence risk, 25% within 2 years; Normal neuro exam + clear imaging + normal EEG → best prognosis; 20-30% of epilepsy individuals medically intractable; Seizure-free ≥2 years before AED withdrawal, most relapses during taper or within 3 months; PET/SPECT: interictal PET shows low metabolism, ictal SPECT shows high flow