First seizure presentation: do multiple seizures within 24 hours predict recurrence?

Kho, Lay Kun; Lawn, Nicholas D; Dunne, John W; Linto, Jennie · Neurology · 2006

retrospective_cohort · Level III

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Abstract

We compared clinical features and prognosis of 72 adults with a first-ever seizure presentation comprising multiple discrete seizures within 24 hours to 425 patients presenting with a single seizure. Those presenting with multiple seizures were no more likely to have seizure recurrence, irrespective of etiology or treatment. Hence, a presentation with multiple seizures within 24 hours should be regarded as a single event, in keeping with the International League Against Epilepsy recommendations.

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