[Therapy in neurology. 11. Treatment of epileptic seizures in adults]

Treatment of epileptic patients is an important tasks for all members of the medical staff. In the treatment of status epilepticus there are new developments with better results, because status can be broken within minutes, not depending on the cause of the status. If cooperation between patient and doctor is good, results of the antiepileptic therapy will also be better. Target is the no-seizure-situation of the patient. In differential diagnosis other causes for a seizure have to be excluded: Tumors, haematomas and inflammations. By cranial computer tomography this can be done very easily and without risk for the patient. Cerebrospinal fluid must be examined in all patients with a first seizure. In treatment of epilepsy serum level controls are important: they can show problems of resorption, but also the consequence of intermittent drug intake.