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Abstract: 

The diagnosis and management of epilepsy presents unique challenges for staff in correctional institutions. This article provides a brief review of the diagnosis of seizure disorders and the common misconceptions regarding their classification. It also discusses how to evaluate a new onset of seizures in an inmate and how to evaluate inmates who arrive at the institution with a history of seizures. Management of an inmate with suspected factitious seizures (secondary gain issues) is addressed, as well as the medical and correctional response to inmates who seize.

Keywords: temporal lobe seizures, psychomotor, petit mal, grand mal, malingering, Focal or Diffuse Neurological Abnormalities, history

Affiliations:  1: FederalBureau of Prisons Central Office; 2: Federal Bureau of Prisons.