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EPILEPSY

A neurological condition in which spontaneous abnormal electrical discharges in the brain give rise to fits or seizures. Seizures are of many types, but their pattern is consistent for a particular individual.

After specialist diagnosis and initiation of treatment, most patients are managed in primary care. Patients should be reviewed annually; some may not wish to attend, but it is important for them to be kept informed about their epilepsy and how its management might be improved. If a patient has been seizure free for a period, remaining so is important to maintain quality of life, e.g. if a change in medication leads to a fit, a driving licence may be forfeited.

NICE CG137 Epilepsies: diagnosis and management; 2012 (updated 2021). https://www.nice.org.uk/guidance/CG137

Epilepsy Society Information for professionals and patients https://www.epilepsysociety.org.uk/

Epilepsy Nurses Association https://esna-online.org

Medical conditions, disabilities and driving https://www.gov.uk/driving-medical-conditions

Practice Nurse featured article

Emergencies in general practice. Seizures and status epilepticus Beverley Bostock-Cox

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