Seizures are one of the most common neurologic emergencies encountered in general practice and the ER—but they're also one of the most misunderstood. In this episode of 2 A.M. Consult, Dr. Deer is joined by board-certified veterinary neurologist Dr. Ryan Gibson to break down a practical, evidence-based approach to seizure patients.
Together they discuss how to distinguish seizures from other collapse events, the diagnostic workup for first-time seizures, when MRI and CSF analysis are (and aren't) indicated, and how to build confidence diagnosing idiopathic epilepsy. They also cover when to start anti-seizure medications, choosing between phenobarbital, levetiracetam, zonisamide, and potassium bromide, monitoring recommendations, rescue medications for cluster seizures, and what current evidence says about supplements, diets, and CBD.
Whether you're a GP veterinarian, emergency clinician, or veterinary student, this episode is packed with practical clinical pearls you can apply to your very next seizure case.
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