NICE epilepsy guideline

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Epilepsy is a neurological disorder characterised by recurrent epileptic seizures, without an immediately identifiable provoking cause. Types of epilepsy experienced depends on what part of the brain is affected, the pattern of spread of epileptic discharges in the brain, the underlying cause of the epilepsy, and the person’s age. 70% of people with epilepsy will enter remission (5 years seizure free, with or without treatment) and 30% have chronic epilepsy. Epilepsy management is mostly through the use of antiepileptic medications to prevent seizures, although MRI can help identify those who may benefit from surgery.

This Guidelines summary contains key principles for the diagnosis and management of epilepsy, including when to refer for specialist review, management of prolonged or repeated seizures, review and referral, and special considerations for family planning for women with epilepsy.

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