Neurologic consultation for seizures. When, why, and how to pursue.

Primary care physicians can successfully manage seizure in many patients who respond well to initial antiepileptic drug therapy. However, management of recurrent seizures is often complex and best accomplished by consultation with a neurologist or epilepsy specialist. In this article, Drs Labiner and Ahern discuss the issues involved in evaluation and treatment of seizure and offer a model for working with general neurologists and specialized epilepsy centers.