First seizures and epilepsy

First Seizure

Who to refer:

• Anyone in whom you suspect a possible first ever epileptic seizure or new diagnosis of epilepsy, and think would benefit from a specialist opinion regarding diagnosis, investigations and possible treatment.

What tests should you do in advance:

• Ideally, FBC, urea and electrolytes, calcium, glucose, liver function tests and ECG

Who not to refer:

• Patients already in neurology follow-up. For advice on existing patients please email neurology@borders.scot.nhs.uk

How to refer:

• SCI Gateway
• Please remind all referred patients to bring a witness with them to the appointment
• Advise all referred patients regarding driving restrictions: Assessing fitness to drive – a guide for medical professionals

• Fitness to Drive (gov.uk)
• Neurological Alliance
• National Institute for Health and Care Excellence (NICE)
• Scottish Intercollegiate Guidelines Network (SIGN)
• Epilepsy Society – www.epilepsysociety.org.uk
• Epilepsy.org – www.epilepsy.org.uk
• Epilepsy Scotland – www.epilepsyscotland.org.uk