Consultant Neurologist London - Expert Care for Epilepsy and Neurological Conditions

Experiencing a first seizure can be alarming — both for you and those around you. It is completely natural to feel frightened, confused, and full of questions. To understand any potential neurological conditions, the most important step you can take is to seek expert evaluation from an epilepsy specialist through private neurological consultations promptly.

A single seizure does not automatically indicate that you have epilepsy. Many individuals experience only one seizure in their lifetime and never have another. However, consulting with an epilepsy specialist is crucial for a thorough assessment to understand the cause, evaluate your risk of recurrence, and determine whether treatment is necessary. This is particularly important when considering various neurological conditions. Private neurological consultations can provide tailored insights and guidance for your specific situation.

As a London-based epilepsy specialist, Dr. Theochari is experienced in evaluating first seizures and guiding patients through this uncertain and often stressful time with clarity and expertise, all while addressing various neurological conditions. He also offers private neurological consultations to ensure personalized care.

Not necessarily. Epilepsy is diagnosed when a person has had two or more  unprovoked seizures, or when the risk of recurrence after one seizure  is high enough to justify treatment. A single seizure can occur due to a  transient trigger (such as sleep deprivation or alcohol) and may never  recur. Dr. Theochari will carefully assess your individual risk.

Causes are wide-ranging and include: genetic predisposition, structural  brain abnormalities, head injury, stroke, brain infection, metabolic  disturbances (e.g. low sodium or blood sugar), medications, alcohol or  drug withdrawal, and sleep deprivation. In a significant proportion of  cases, no cause is found — known as an idiopathic or cryptogenic  seizure.

Not always. The decision to start anti-seizure medication depends on the  type of seizure, the underlying cause, the risk of recurrence, and  personal factors such as occupation and lifestyle. Dr. Theochari will  discuss the risks and benefits with you individually — there is no  one-size-fits-all answer.

After a first unprovoked seizure, UK law requires a minimum of 6 months  without driving (12 months for Group 2 licences). The exact duration  depends on investigation results and whether a cause is found. Dr.  Theochari will advise you on your specific situation and assist with  DVLA correspondence..

The vast majority of people who experience a first seizure — even those  who go on to be diagnosed with epilepsy — live full and active lives.  With the right diagnosis, appropriate treatment if needed, and practical  guidance on safety, most patients are able to continue work, sport,  travel, and family life without significant restriction.

Private appointments with Dr. Theochari at The Wellington Hospital or  King's College Hospital can typically be arranged within days. If your  situation is urgent, please call the practice directly to discuss  priority scheduling.

An MRI brain scan is recommended for most people following a first  seizure to look for any structural causes. Dr. Theochari will arrange  this as part of your initial investigation plan, along with an EEG and  relevant blood tests.