Seizure

Template for patient with Seizures - seen in the clinic.

Seizure history: "when it started and in what settings"

Seizure Semiology:
Semiology #1:  "description and frequency"
Semiology #2:  "description and frequency"

Seizure risk factors:
-....... (family hx - head trauma - stroke - tumor - genetic disorder - cerebral palsy....)

Workup done so far:
EEG:
EMU:
MRI brain:

Medications tried:
1- Medication #1: maximum dose reached - why it was stopped.
2- Medication #1: maximum dose reached - why it was stopped.

Current medications:

..................................

Interim history:
...................................