Letters First seizures in adults

Don’t forget eclampsia

BMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g4149 (Published 24 June 2014) Cite this as: BMJ 2014;348:g4149
  1. Joanna C Girling, consultant obstetrician and gynaecologist1
  1. 1West Middlesex University Hospital, Isleworth TW7 6AF, UK
  1. joanna.girling{at}wmuh.nhs.uk

In her review of first seizures, Angus-Leppan fails to mention eclampsia, an important cause of tonic-clonic seizures, which has a unique management pathway.1 She rightly emphasises the importance of taking a good history to establish whether a seizure has happened and lists some important diagnostic blood tests. However, healthcare professionals also need to think …

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