Diagnostic Algorithm for the Patient with Seizure in the Emergency Department Does the history suggest a seizure? - Presence of aura - Collateral history from witnesses - Absence of additional symptoms (eg, palpitations, light-headedness, headache, speech abnormality, etc.) Consider elements suggesting alternative diagnosis such as: - Syncope - Stroke - Atypical migraine - Pseudoseizure Characterize seizure - Onset, aura - Duration - Partial vs. generalized - Postictal state #Algorithm #Diagnosis #Seizure #management #Neurology
