Editing Seizure (section)

==Prognosis==
The prognosis after a first seizure depends on the underlying cause, seizure type, and patient-specific factors. In general, individuals who experience a single provoked seizure due to an acute and reversible cause (such as hypoglycemia or head trauma) have a low risk of recurrence once the underlying issue is treated. Following a first unprovoked seizure, the risk of more seizures in the next two years is around 40%.<ref name=":0">{{Cite journal |last1=Neligan |first1=Aidan |last2=Adan |first2=Guleed |last3=Nevitt |first3=Sarah J |last4=Pullen |first4=Angie |last5=Sander |first5=Josemir W |last6=Bonnett |first6=Laura |last7=Marson |first7=Anthony G |date=2023-01-23 |editor-last=Cochrane Epilepsy Group |title=Prognosis of adults and children following a first unprovoked seizure |journal=Cochrane Database of Systematic Reviews |language=en |volume=2023 |issue=1 |pages=CD013847 |doi=10.1002/14651858.CD013847.pub2 |pmc=9869434 |pmid=36688481 }}</ref> Starting anti-seizure medications reduces recurrence of seizures by 35% within the first two years. The greatest predictors of more seizures are problems either on the EEG or on imaging of the brain. Those with normal EEG and normal physical exam following a first unprovoked seizure had less risk of recurrence in the next two years, with a risk of 25%. In adults, after 6 months of being seizure-free after a first seizure, the risk of a subsequent seizure in the next year is less than 20% regardless of treatment.<ref>{{cite journal | vauthors = Bonnett LJ, Tudur-Smith C, Williamson PR, Marson AG | title = Risk of recurrence after a first seizure and implications for driving: further analysis of the Multicentre study of early Epilepsy and Single Seizures | journal = BMJ | volume = 341 | pages = c6477 | date = December 2010 | pmid = 21147743 | pmc = 2998675 | doi = 10.1136/bmj.c6477 }}</ref>