[What to do after the first epilepsy seizure?]

It is never easy to decide on the action to be taken after a first epileptic seizure, the main question being; to treat or not to treat? To initiate a treatment implies that the epileptic nature of the seizure has been ascertained on the basis of strict clinical and electroencephalographic criteria. Apart from the specific causal treatment of some seizures, the prescription of a long-term antiepileptic therapy depends on the risk of relapse, which is always difficult to evaluate. The patient's age and family and his profession are factors which should never be neglected.