Abstract
The diagnosis of a first seizure can be a significant change in the life of a person, thus we must be as sure as possible when issuing it. It happens in up to 10% of the population, but not all develop epilepsy. The most frequent are febrile seizures. The most common cause is an infection, systemic or localized in the central nervous system. The differential diagnosis is made mainly with episodes of loss of consciousness, mainly syncope and psychogenic non-epileptic events. The anamnesis give us the key for diagnosis, complemented by a blood workup, neuroimaging (CT and / or MRI) and electroencephalogram in the first 24hours after the seizure. The risk of recurrence depends on factors such as the etiology and EEG findings. Treatment with antiepileptic drugs decrease the risk of short term recurrence in the but not long term.
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