After the diagnosis of epileptic patients is confirmed and treatment is started, necessary examinations should also be performed frequently to further clarify the cause of the disease and to detect toxic side effects in time for timely treatment, including the following where: ① Ask the patient about the occurrence of control after taking medication, whether there is headache, dizziness, drowsiness, weakness, nausea, vomiting, abdominal pain, diarrhea, hair loss, skin itching and rash. ②Check the general condition of the patient, including mental status, intellectual condition, whether there is redness, swelling and papules on the skin, whether there is hyperplasia or loss of hair, whether there is hyperplasia of gums, whether there is pressure pain and enlargement of the liver, etc. ③For some patients whose etiology is temporarily unclear, general neurological examination, such as pathological reflexes, should also be performed frequently during treatment in order to find further clues of brain lesions. If necessary, EEG, lumbar puncture for cerebrospinal fluid, cerebral angiography, CT, magnetic resonance imaging, cervical Doppler, cervical spine X-rays and related laboratory tests, such as cysticercosis complement test, can also be reviewed. The etiology of the disease will be further clarified through these examinations. ④In the beginning and middle of treatment and during the beginning and reduction of medication, EEG should be frequently rechecked to observe the control of epileptic discharges in the brain in order to guide the adjustment of medication dose and reduction rate. ⑤ Review the blood picture frequently, including white blood cell count, classification, blood count, and bleeding and clotting time.
This test should be repeated once every 3 to 5 days at the beginning of treatment (within 2 to 3 weeks) in order to detect abnormal changes in a timely manner. (6) Regularly recheck liver function, including transaminases, xanthogranin index and blood ammonia, etc. (7) Regularly check blood calcium and, if available, folic acid level, T3 (triiodothyronine), T4 (thyroxine) and other endocrine hormones in order to detect drug-induced endocrine and metabolic abnormalities. ⑧ Perform immunological examinations, including immunoglobulin A, M, G and other indices, in order to detect immune dysfunction. ⑨ Periodically check the blood drug concentration in order to guide the medication.