Seizure tests

DIET BEM

Drug levels

Ictal SPECT/PET/MEG

EEG +/- video EEG

Toxicology/drugs screen: Tricyclics, cocaine, alcohol, tramadol, theophylline.

Biochemistry profile: Glucose, Na, Ca, phosphate, urea.

Exclude infection - CMC, RPR, meningitis, encephalitis...

MRI/CT

Seizure History

Witness = PAM DICCI FEJ

Pulse

Associated symptoms (palpitations, angina, dyspnoea, light-headed)

Movement

Duration

Injury

Consciousness

Complexion (cyanosis suggests epilepsy)

Incontinence

Frothing

Eyes open or closed

Jacksonian features

Before

Precipitants - what was she doing?

Warning?

Can she prevent attacks?

After = STAMP C

Sleepiness

Tongue sore

Amnesia

Muscle ache

Paralysis/dysphasia

Confusion

Background

Frequency

First episode - date

Fx

Sleepiness (narcolepsy)