الفهرس 
DedicationOnly 14 pages are availabe for public view
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Abstract
The decision as to whether to treat children and adolescents who have experienced a first unprovoked seizure must be based on a risk-benefit assessment that weighs the risk of having another seizure against the risk of chronic AED therapy. This decision should be individualized and consider both medical issues and patient and family preference to optimize quality of life. We provide a summary of best available evidence for management of a child with a first unprovoked seizure, particularly the question of treatment after the first unprovoked seizure. The aim of this study is to assess treatment practice after a first unprovoked seizure in childhood and adolescence in Assiut University Children Hospital outpatient neurology clinic with the available standards and guidelines, in the light of determination of the risk of recurrence and benefits of treatment following the first unprovoked seizure. Compliance to the standards was optimal in most of the studied cases. The result of assessment was satisfactory. And the aim should be directed to keep updated and following the recent best evidence together with spreading knowledge of the available standards and guidelines. Compliance to these standards helps to individualize management and avoid social, psychological and financial burdens of wrong knowledge. Consequently, this will improve the clinical practice.