Key clinical point: In emergency departments, patients with seizure disorders and nonindex seizures may need neuroimaging only if they have acute head trauma, prolonged alteration of consciousness, or focal neurological examination at presentation.

Major finding: Absent the three factors above, neuroimaging did not prompt any acute changes in management.

Study details: Retrospective examination of 822 consecutive ED visits for nonindex seizures in patients with seizure disorders at two medical centers.

Disclosures: No study funding was reported, and the study authors reported no relevant disclosures.

Source: Salinsky M et al. Epilepsia. 2018 Jul 18. doi: 10.1111/epi.14518.

Neuroimaging may often be unneeded in ED seizure treatment