Das et al identified factors associated with a low risk of recurrent seizure in a patient who has had a single, unprovoked idiopathic seizure. The authors are from the Postgraduate Institute for Medical Education and Research in Chandigarh, India.


Person at low risk for seizure recurrence after a single, unprovoked idiopathic seizure:

(1) normal CT scan

(2) normal EEG

(3) duration of index seizure short

(4) more than 3 months have passed since the first seizure

(5) if treatment has been started

(6) negative family history for seizures


Exclusions included: perinatal asphyxia, CNS infection, head trauma, stroke, mental retardation, cerebral palsy, or the presence of a focal neurological deficit.


Patients with (a) generalized spikes & waves, or (b) focal epileptiform discharges on EEG had a high rate of recurrence, while those with generalized slowing did not have a recurrence.


When anti-epileptic medication could be stopped was not stated.


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