Abstract: Epilepsy is a multi disorder that may reflect different pathophysiological mechanisms, so it is very important before starting treatment, reaching a full diagnosis as possible, semiotic, syndromic and etiologic whenever possible. The video-EEG monitoring with visualization and affiliation of the critical events is an essential technique for diagnosis in these patients. The usual treatment of epilepsy is based on the chronic and continuous administration of AEDs that aim to control the crisis, with fewer adverse effects, to achieve the best quality of life. But despite the most appropriate treatment with AEDs, 25% of patients continue to have seizures, and suffer what is known as difficult to control epilepsy refractory or drug. These patients require a means of diagnosis and treatment, including more complex surgical. Therefore, it is recommended that patient care with epilepsy is laminated with a good relationship and interconnection of the different levels involved.
Gómez Betancur, L., Vilaplana Domínguez, L., & Sancho Rieger, J. (2015). Treatment of epilepsy. Medicine (Spain), 11(73), 4374–4384. https://doi.org/10.1016/j.med.2015.02.003