Letters First seizures in adults

Author’s reply to Girling

BMJ 2014; 348 doi: http://dx.doi.org/10.1136/bmj.g4152 (Published 24 June 2014) Cite this as: BMJ 2014;348:g4152

This article has a correction. Please see:

  1. Heather Angus-Leppan, consultant neurologist and epilepsy lead1
  1. 1Royal Free Hospital, London NW3 2QG, UK
  1. heather.angus-leppan{at}nhs.net

Girling correctly mentions eclampsia as a cause of tonic-clonic seizure.1 In my article, only the most common causes of symptomatic seizure could be mentioned.2 Eclampsia is a rare cause of symptomatic first seizure (structural/metabolic seizure in the new terminology).3 4 Many other rare causes were also not discussed, …

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