7. Disease
        Neurology
            Epilepsy
Epilepsy - Investigation

Epilepsy
- Investigation

Laboratory tests

Patient should have a wide anion gap metabolic acidosis (lactic acid) following a major seizure, which should correct spontaenously within 1 hour.

Routine tests:

Radiographic studies

CT scan of the head

Immediately if:

Xray of the chest if cancer is suspected

Xray of the cervical spine if there has been head trauma.

 

Electroencephalography (EEG)

In emergency, can be used in patient with persistent, unexplained, altered mental status to rule out nonconvulsive status epilepticus

Also distinguishes generalised from focal seizures

 

Absence seizure's characteristic EEG finding

   -> 3 Hz spike wave activity

 

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