[Selected problems for discussion of procedures in epilepsy]

In neurological practice epilepsy treatment has a special place. Among the problems encountered by us in this connection every day the following are worth mentioning: Differential diagnosis of epileptic seizure against psychogenic fits and fainting. Management of the first seizure /treatment starting?/. How EEG tracings should be related to clinical status? Should imaging examination be suggested? Treatment programme /doses, mono- or polytherapy, new generation drugs/ Can anticonvulsants worsen epilepsy? Indications to surgical treatment. Whether and when anticonvulsants should be withdrawn in case of remission? Should treatment be given prophylactically after injury or stroke? How to deal with late onset epilepsy? What is the significance of concomitant diseases? The purpose of this lecture is to incite personal consideration of these matters and discussion on these problems in which it is difficult to take optimal decision.