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Treatment issues following a first unprovoked seizure are discussed, using an approach that emphasizes weighing the relative risks and benefits of the therapeutic decisions. The majority of children and adults who present with a first unprovoked seizure will not experience further seizures. Both seizures and the therapies available carry some risk, and optimal patient care requires careful balancing of these risks and benefits. Treatment with antiepileptic drugs reduces recurrence risk but doesdoi:10.1055/s-2008-1079333 pmid:18777475 fatcat:sp6zdpovdzf3dhfnoxqspzklyu