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Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure? SHINE Mnemonic: • first seizure occurred during Sleep • Remote Symptomatic Cause identified on History • Remote Symptomatic Cause identified on neuro-Imaging • abnormal Neurologic exam including FNDs and intellectual disability • epileptiform abnormalities on EEG #Antiepileptics #Drugs #Seizure #FirstTime #Initiation #start #Algorithm #Neurology #SHINE #mnemonic