Breakthrough Seizure

NOTE: This pathway is intended for use in patients who have an established diagnosis of epilepsy and present with breakthrough seizure(s). Breakthrough seizures in patients with known epilepsy are most commonly due to medication nonadherence, metabolic disturbances, infection, sleep deprivation, or medication interactions. Evaluation focuses on identifying the precipitating factor and correcting it.

Last updated 8/27/2026

: Description of Current Episode including seizure type, duration, total number of seizures, duration of post-ictal phase if present, location where seizure(s) occurred

Psychogenic Non Epileptic Events (PNEE)

Assess for Acute Triggers

Epilepsy history

Counseling

Diagnostic Evaluation