The management of the child who has suffered one epileptic seizure is a critical clinical problem. It requires skill in determining the etiology and art in discussing with the family and the afflicted child the significance of the ominous event. The problem of one epileptic seizure was presented by Thomas in the J. A. M. A. one year ago. Another communication on this subject appears in this issue of The Journal, p. 135, prepared by Samuel Livingston, Director of the Epilepsy Clinic at The Johns Hopkins Hospital. The immediate institution of daily anticonvulsant therapy is recommended for a child who has experienced only one seizure of undetermined etiology.
The reasons for prompt institution of therapy are clear. The prevention of recurrence of seizures is of prime importance. This should lead to inhibition or minimizing the psychological disturbances that are inevitable in patients and in parents. Less frequent, but equally significant,