Epilepsy consultation and follow-up

  Who is a good candidate for an epilepsy clinic? What are the conditions that require follow-up for patients taking epilepsy medication?  Patients with the following common conditions should be considered for a seizure clinic visit: 1. any form of limb twitching, and/or loss of consciousness 2. sudden eye staring and/or upward turning, fluttering (like daydreaming), interruption of activities, speech, dropping objects to the ground, not responding to calls, transient memory loss, and/or falling.  3. Short (1-2 seconds) muscle twitches in the face, upper limbs, neck, and trunk.  4. Short paroxysmal twitching or numbness and tingling at the corners of one side of the mouth, eyelids, fingers, toes, or at the end of one side of the face and limbs.  5. Episodic hallucinations, delusions, unconscious movements such as sucking, chewing, smacking, undressing, unbuttoning, etc., but lasting more than 1 minute.  6. Seizure headache, dizziness, nodding, with or without nausea and vomiting, lasting for several minutes.  Second, patients with epilepsy treatment need timely follow-up in the following cases: 1. At three points in time, such as January, April and a year after the start of medication, regular follow-up is required without special circumstances to check blood routine, liver function, blood concentration, etc.  2. If allergic reactions such as rashes occur when taking certain drugs (e.g. carbamazepine, lipitor, etc.), prompt medical consultation is required to identify and determine whether the drug needs to be discontinued.  3.The frequency of seizures increases compared with the previous one, or new forms of seizures appear, or the frequency of seizures is not reduced after the treatment and observation time is greater than 5 x seizure cycles.  4. Those with significantly longer seizure time again than before (including persistent status epilepticus), and/or seizures with respiratory distress, misaspiration, accidental physical injury, etc.  5.After being seizure-free for a longer period of time when taking medication regularly, a sudden seizure (especially in elderly patients) without obvious triggers (e.g. lack of sleep, playing games, etc.) needs to be seen promptly.  6. When common side effects such as susceptibility to colds, poor diet, unstable walking, dizziness, mental symptoms, etc. occur, it is necessary to promptly visit the hospital for routine blood, liver function, blood concentration and EEG tests.