Dilantin Seizures Treatment

Dilantin Seizure Treatment

Ned Tijdschr Geneeskd. 2009;153:B327.

[Epilepsy from seizure to care].

van Donselaar CA, Carpay JA.

Maasstad Ziekenhuis, afd. Neurologie, Rotterdam, The Netherlands. donselaarc@maasstadziekenhuis.nl


Epilepsy is very common. The prevalence in the Netherlands is 5:1000 inhabitants. The diagnosis is mostly made on clinical grounds and often incorrectly.

If there are doubts about the diagnosis, the patient can be referred to a specialised centre for a seizure registration with an EEG and video recording.

The disorder generally responds well to treatment with anti-epileptics.

Some 60-70% of patients treated with these remain free of seizures.

If medicinal treatment fails then a surgical intervention can be considered. For patients with temporal epilepsy in particular, there is quite a high chance that a surgical intervention will resolve the symptoms.

Where it proves difficult to satisfactorily adjust the medication of a patient, stimulation of the left vagus nerve can be considered.