Unprovoked Seizure Clinical Pathway — Emergency Department
Unprovoked Seizure Clinical Pathway — Emergency Department
Patient Cohort
This pathway guides the ED evaluation and treatment of healthy children > 2 months old with new onset unprovoked seizure(s). An unprovoked seizure has no known cause such as fever, infection, trauma, ingestion, or metabolic abnormality.
Exclusion criteria
- Provoked seizure
- Fever (ED and Inpatient Febrile Seizure Pathway)
- Suspected intracranial pathology (tumor, head trauma, infection, stroke)
- Acute intoxication/overdose
- Suspected meningitis or other intracranial infection (See ED, Inpatient and ICU Meningitis Pathway)
- Known seizure disorder/epilepsy
- Complex medical condition (e.g., neurosurgical, cardiac, oncologic, metabolic, extreme prematurity)
- Ongoing seizure (See ED Status Epilepticus Pathway)
- Persistently altered mental status (See ICU EEG Monitoring Pathway)