Diagnóstico y tratamiento de la crisis epiléptica única no provocada

• DOI: 10.33588/rn.6304.2016078
• Publication Date: 2019-02-14T07:42:32Z
• Authors: Iris E. Martínez ...; Julio Moreno; Lady Diana Ladino; Nancy Castro; Laura Hernández V...; Jorge G. Burneo d...; Lizbeth Hernández...; José Francisco Té...
• Keywords: 03 medical and health sciences; 0302 clinical medicine; 3. Good health

Epileptic seizures are one of the main reasons for neurological visits in an emergency department. Convulsions represent a traumatic event patient and family, with significant medical social consequences. Due to their prevalence impact, initial management is vital importance. Although following first epileptic seizure, early recurrence diminishes after establishing treatment antiepileptic drugs, forecast developing epilepsy long-term outcomes not altered by any intervention. Detailed questioning based on symptoms convulsions, patient's history full electroencephalogram neuroimaging study make it possible define risk seizure diagnosis epilepsy. abnormalities, presence old or new potentially epileptogenic brain lesions, as well nocturnal seizures, increase recurrence. Physicians must assess each individual basis determine most suitable treatment, explain being treated versus that exists if drugs established. Diagnostico y tratamiento de la crisis epileptica unica no provocada.Las epilepticas son una las principales causas consulta neurologica en el servicio urgencias. Un episodio convulsivo representa un evento traumatico para paciente familia, con consecuencias medicas sociales significativas. Por su prevalencia e impacto, abordaje inicial es importancia. Si bien despues primera recurrencia temprana disminuye inicio farmacos antiepilepticos, pronostico desarrollo epilepsia los desenlaces largo plazo se alteran por ninguna intervencion temprana. El interrogatorio detallado basado semiologia del episodio, antecedentes estudio completo electroencefalograma neuroimagen permiten definir riesgo posible diagnostico epilepsia. Las anormalidades epilepticas, presencia lesiones cerebrales potencial epileptogeno antiguas o nuevas, asi como nocturnas, incrementan recurrencia. Los medicos deben evaluar cada manera determinar idoneo, explicando tratar frente al existente antiepilepticos.