Renal transplant recipient seizure practical management

Table 2 A practical approach to generalised tonic clonic seizure in renal transplant patients (modified from Chabolla et al[14], 2006)

Acute onset generalised tonic clonic seizure
Monitor ABC
IV Lorazepam 2 mg
Post seizure	Persistent seizure or recurrent seizures without regaining consciousness follow status epilepticus protocol
Eliminate or correct identified provocative factors
Neurologic examination, EEG, MRI brain
If all negative, monitor without AED
If any positive (Neurologic examination abnormal or EEG – Epileptic activity or MR structural lesion) OR spontaneous recurrence when monitoring without AED -> then Initiate AED

EEG: Electroencephalography; MRI: Magnetic resonance imaging; AED: Antiepileptic drug.