SHER-LOC IN THE FIRST SEIZURE CLINIC

IntroductionLateral tongue bites, posterior shoulder dislocations, thoracic vertebral fractures and facial fractures are reported as silent witnesses in epilepsy. Diagnosis of seizures and other episodes of transient loss of consciousness (TLOC) requires a sleuth-like interpretation of the clinical story and eye-witness account. We set out to identify other subtle clues which may prove helpful in the overall evaluation.MethodsData on 180 patients collected for an existing first seizure audit was analysed using PASW 22.0 to identify significant associations between history features and diagnosis.Results190 events for 145 patients were identified. At home, events were recorded within the bedroom, kitchen, living room, bathroom, hallway and shower. Those in the bedroom, shower and whilst driving were more likely to be seizures than other TLOCs (p