Intended for healthcare professionals

Letters Bad medicine: epilepsy

Accurate diagnosis and long term management is problem in epilepsy, not cost of drugs

BMJ 2013; 346 doi: (Published 18 June 2013) Cite this as: BMJ 2013;346:f3920
  1. Jan Coebergh, consultant neurologist1
  1. 1Ashford and St Peter’s Hospitals NHS Trust, Chertsey KT16 0PZ, UK
  1. jcoebergh{at}

Spence is right that epilepsy is not managed well.1 Rather than focusing on the cost and use of drugs perhaps the problem is with diagnosis and management in general. The recent national audit of seizure management in hospital identified considerable variability.2 The few sites that performed well showed that good care is possible, but, overall, assessment on arrival was …

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