Guía clínica. Manejo de la primera crisis epiléptica no provocada en adultos y niños

Unprovoked seizures represent a challenge in the neurology office consult. Proper identification of the first unprovoked seizure must be the first step of the adequate treatment and for this there are different diagnostic tools that help in the establi-shment of percentage risk of a second seizure or the presence of epilepsy, as well as recurrence factors for a first time unprovoked seizure. Likewise, indication for pharmacological treatment for the first unprovoked seizure is described and we move forward to the reference to the next level of medical attention. One important component of the management after the first unprovoked crisis are the nonmedical recommendations to the patient and family after the first unprovoked seizure. This Mexican Guideline was elaborated accounting the resources available of our hospitals and the diagnostic tools in both public and private hospitals.