About Epilepsy & Seizures
A seizure is a sudden episode caused by abnormal electrical activity in the brain. Proper evaluation helps distinguish epilepsy from other events that may look like seizures and guides safe, long-term management.
Common Symptoms
Symptoms vary from person to person. A neurological review is useful when symptoms are persistent, recurrent, progressive or difficult to explain.
When should you consult a neurologist?
- A first suspected seizure
- A seizure lasting several minutes or repeated seizures without recovery
- Injury, pregnancy or breathing difficulty during a seizure
- Breakthrough seizures despite regular medication
- New confusion, weakness or unusual behavior after an episode
- Questions about driving, work, pregnancy or medication safety
Evaluation & Diagnosis
Testing is selected according to the clinical picture rather than using the same investigations for every patient.
Detailed description of the event, ideally including witness history
Neurological examination
EEG when appropriate
Brain MRI or other imaging when indicated
Blood tests or additional investigations based on the clinical situation
Treatment & Management
Selection and monitoring of anti-seizure medication
Review of seizure triggers and medication adherence
Safety advice for daily activities
Counselling regarding sleep, alcohol, driving and lifestyle
Regular follow-up for seizure control and medicine side effects