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NEUROLOGY 2006;67:1047-1049
© 2006 American Academy of Neurology
Brief Communications

First seizure presentation: Do multiple seizures within 24 hours predict recurrence?

Lay Kun Kho, FRACP, Nicholas D. Lawn, FRACP, John W. Dunne, FRACP and Jennie Linto

From the W.A. Adult Epilepsy Centre, Royal Perth Hospital, Western Australia.

Address correspondence and reprint requests to Dr. Lay Kun Kho, 3/38 Kenilworth Street, Maylands, WA 6051, Australia; e-mail: laykunkho{at}yahoo.com.au

We compared clinical features and prognosis of 72 adults with a first-ever seizure presentation comprising multiple discrete seizures within 24 hours to 425 patients presenting with a single seizure. Those presenting with multiple seizures were no more likely to have seizure recurrence, irrespective of etiology or treatment. Hence, a presentation with multiple seizures within 24 hours should be regarded as a single event, in keeping with the International League Against Epilepsy recommendations.

Commentary, see page 927

Disclosure: The authors report no conflicts of interest.

Received June 24, 2005. Accepted in final form May 10, 2006.


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September 26 Highlight and Commentary: First seizure: Do multiple seizures predict recurrence?
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