First-seizure referrals should be sent directly to the trust's first-seizure clinics (as NICE guidelines suggest rapid review and assessment). This clinic is primarily concerned with the possibility of epilepsy - and so this pathway should not be used for patients where cardiogenic or other acute causes of Transient Loss of Consciousness are suspected. 

The consultants would be happy to discuss any referrals and usually state the eligibility criteria below.

Eligibility Criteria

Inclusions

• First seizure within three months
• Not receiving anti-seizure medication
• No previous neurology out-patient review of "first seizure"
• Not under care of drugs and alcohol support services
• Possibility of cardiogenic syncope, vasovagal and orthostatic syncope has been reasonably excluded
• Local resident (out-of-area patients can be discussed depending on a clear clinical rationale)

How to Refer