[The importance of beginning antiepileptic therapy and aspects for its prognosis]

Before we start the medical treatment of epilepsy, we have to examine the diagnostic again as well the factors significant for prognosis (etiology, type of seizure, cerebral structural changes, neurology deficiency, psychic changes, social handicap, etc.) The possibility of accidental seizure must be eliminated, the care of possible precipitating factors taken too. On principle the first seizure shouldn't be treated but if we decide to cure it, we have to make careful selection. The medical treatment must be done with one anticonvulsant.