Seizures are classified into two groups
KD Hospital’s Epilepsy clinic can help you with:
Epilepsy is a brain condition involving a lasting tendency to have epileptic seizures. It is usually diagnosed after two unprovoked seizures more than 24 hours apart. It can also be diagnosed after one unprovoked seizure when the risk of recurrence is high, or when a recognised epilepsy syndrome is identified. Not every blackout or seizure means epilepsy; the history and appropriate tests help establish the diagnosis.
Seizures are classified as focal, generalized, unknown whether focal or generalized, or unclassified. Focal seizures begin in networks on one side of the brain; generalized seizures involve networks on both sides from the outset. A focal seizure can spread to both sides and become a bilateral tonic-clonic seizure. Symptoms may include unusual sensations, staring, reduced responsiveness or jerking. When the available information is insufficient, the team may keep the classification uncertain while investigating further.
The visit starts with a detailed account of the events, their frequency and recovery, followed by a review of medicines, side effects and available reports. A seizure diary and safely recorded videos can be helpful. Depending on the clinical question, the epileptologist may arrange EEG, video EEG, MRI or other assessments. Complex cases are discussed with the relevant specialists, including neurosurgery, neuroradiology and neuropsychology, to agree on the next step.
Care can include clarifying the diagnosis and seizure type, reviewing medicine effectiveness and side effects, and assessing persistent seizures. When surgery is being considered, the team compares seizure recordings with imaging and functional assessments. Patients and families also receive practical guidance on taking medicines, maintaining a seizure diary, safety and follow-up. If the tests do not yet support a clear treatment decision, the next step may be further assessment or MDT review.
For a person with difficult-to-control seizures, coordinated review can help explain what the different test results mean and what should happen next. The MDT considers seizure control alongside memory, language, vision, learning and everyday independence. Family discussions address the proposed treatment, remaining uncertainties and practical responsibilities. This supports a treatment decision based on the individual’s needs and priorities.
KD Hospital describes a multidisciplinary approach to epilepsy care. In the MDT process, seizure history, video EEG, imaging and relevant functional assessments are considered together. The team records the proposed treatment, unresolved questions and any tests needed before proceeding. Counselling also covers the possibility of persistent seizures and the need for ongoing medication and follow-up after surgery.
An epilepsy clinic can help people with suspected seizures, an uncertain diagnosis, ongoing seizures despite treatment or troublesome medicine side effects. Specialist review is particularly important when two appropriate medicines have not achieved seizure freedom, or when epilepsy is affecting learning, development or daily independence. People planning pregnancy or managing epilepsy during pregnancy also need individual specialist advice. Bring previous reports, imaging, medicine details and a seizure diary where available.