Seizure Treatment Algorithm

1
Seizure Treatment Algorithm
Identify Recurring Seizures
YES
YES
Exclude Symptomatic Etiology (Syncope,
Hypoglycemia, Intoxication)
Treat Symptomatic Illness
NO
Classify Seizure
Epilepsy -Partial Seizure
-Localization-Related Epilepsy
-Generalized Seizure -Generalized
Referral to an Epilepsy Center
NO
YES
YES
Initiate Drug Therapy (See Initiation Algorithm)
Continue and consider withdrawal after years
seizure-free
NO
NO
Continued Seizure or Limiting Side Effects?
Convert to 2nd Monotherapy (See Conversion
Algorithm)
Continued Seizure or Limiting Side Effects?
YES
YES