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.
Duration
00:02:56
File size
1.66 MB
Practitioner-Guided Note
For Seizure Recurrence Risk and Core Diagnostic Testing, use the highest-yield facts to drive concrete treatment decisions. Pay particular attention to 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 yearsNormal neuro exam + clear imaging + normal EEG → best prognosis20-30% of epilepsy individuals medically intractableSeizure-free ≥2 years before AED withdrawal; most relapses during taper or within 3 monthsPET/SPECT: interictal PET shows low metabolism; ictal SPECT shows high flow