emDocs - January 1, 2017 -Author: Webb J and Long B - Edited by: Simon E & Koyfman A
"Summary
- Seizures are caused by abnormal neurologic electrical activity resulting in motor, sensory, and behavioral symptoms.
- In all patients presenting with AMS or actively seizing: ABCs, accucheck, initiate therapy as appropriate (benzodiazepines first line).
- For patients presenting after return to baseline mental status: a thorough history and physical examination are key to differentiating between a true seizure and its mimic.
- If a seizure is not suspected, consider syncope, psychogenic non-epileptic seizures, stroke or TIA, sleep disorders, and migraines."