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How many unprovoked seizures are required for a diagnosis of epilepsy?

One

Two

A diagnosis of epilepsy typically requires the occurrence of two unprovoked seizures. This criteria reflects the understanding that a single seizure does not necessarily indicate a chronic condition; it could be attributed to various factors such as stress, fever, or a head injury. The rationale is to ensure a more reliable identification of the disorder, as many individuals may experience one seizure without having epilepsy.

Requiring two unprovoked seizures establishes a clearer baseline for diagnosing epilepsy, thereby enhancing patient safety and treatment strategy. This approach provides a better opportunity to assess the individual's history and conduct any necessary diagnostic testing to understand the underlying causes of their seizures before a formal diagnosis is made.

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There is no single definition; diagnosis is made on a case-by-case basis

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