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Not every seizure is epilepsy — accurate classification guides treatment
A first unprovoked seizure warrants careful history (witness account, video if available), neurological exam and risk stratification. Dr. Jitendra discusses EEG, MRI, recurrence risk, driving/lifestyle advice and when medication is indicated — decisions shared with patient and family, not protocol-driven.
Kathmandu Neurology Clinic & Cognitive Center
Authored and reviewed by Dr. Jitendra Prasad Yadav (MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM, NMC 8029). Evidence-based, no fabricated outcomes.
A first unprovoked seizure warrants careful history (witness account, video if available), neurological exam and risk stratification. Dr. Jitendra discusses EEG, MRI, recurrence risk, driving/lifestyle advice and when medication is indicated — decisions shared with patient and family, not protocol-driven.
Reviewed by Dr. Jitendra Prasad Yadav, MBBS, MD, FICN, FCNV, FIHM — Consultant Neurologist & Headache Specialist (NMC 8029), Kathmandu Neurology Clinic. For evaluation, book an appointment.
Seizure semiology, triggers, family history, substance/medication review, and safety counselling are central. EEG and MRI are targeted, not routine for every spell — clinical context determines yield.
Guidelines referenced:
doi:10.1111/epi.12550doi:10.1212/WNL.0000000000001096Content on this website is for general educational purposes only and does not constitute medical advice, diagnosis, or treatment. It is not a substitute for evaluation by a qualified healthcare professional. Always seek the advice of your physician or other qualified provider with any questions regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this website. In case of a medical emergency, contact emergency services immediately. No doctor–patient relationship is established by use of this site or by contacting the clinic through the site.