M. Baron, M. Touze, and G. Potel, Utilit?? des examens de laboratoire dans un service d'urgence en pr??sence d'une crise convulsive de l'adulte, R??animation Urgences, vol.1, issue.2, pp.359-366, 1992.
DOI : 10.1016/S1164-6756(05)80528-6

H. Roth and F. Drislane, SEIZURES, Neurologic Clinics, vol.16, issue.2, pp.257-284, 1998.
DOI : 10.1016/S0733-8619(05)70064-5

A. Jagoda, E. Kuffner, S. Huff, and J. , Clinical Policy: critical issue in the evaluation and management of adult patients presenting to the emergency department with seizures, Ann Emerg Med, vol.43, pp.605-625, 2004.

E. Casalino, Quelle stratégie de surveillance et d'hospitalisation adopter aux urgences ? Epilepsie, pp.126-128, 2005.

S. Moshé, E. Perucca, and P. Ryvlin, Epilepsy: new advance. The Lancet, pp.884-898, 2015.

A. Trinh-duc, O. Fougeras, and J. Philippe, Les crises convulsives de l'adulte au service d'Accueil et d'Urgence : 1 ère conférence de consensus en Médecine d'Urgence, 1991.

E. Peeters, Treatment of epileptic seizures as medicale emergencies: a prospective analysis of a decision tree for non-medically trained staff. Seizures, pp.473-479, 2000.

J. Huff, E. Melnick, and C. Tomaszewski, Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency??Department With Seizures, Annals of Emergency Medicine, vol.63, issue.4, pp.437-447, 2014.
DOI : 10.1016/j.annemergmed.2014.01.018

R. Roberts, S. Shorvon, and T. Cox, Clinically Unsuspected Cerebral Infarction Revealed by Computed Tomography Scanning in Late Onset Epilepsy, Epilepsia, vol.3, issue.2, pp.190-194, 1988.
DOI : 10.1016/S0140-6736(87)90701-X

D. Hesdorffer, W. Hauser, and J. Annegers, Dementia and adult-onset unprovoked seizures, Dementia and adult onset unprovoked seizures, pp.727-730, 1996.
DOI : 10.1212/WNL.46.3.727

A. Jagoda and L. Richardson, The Evaluation and treatment of seizures in the Emergency Department, Mt Sinai J Med, vol.64, pp.249-257, 1997.

A. Jagoda, W. Dalsey, and E. Kuffner, Clinical policy : critical issues in the evaluation and management of adults patients presenting to the emergency department with seizures, Ann Emerg Med, vol.43, pp.605-625, 2004.

G. Soto-ares, P. Jissendi-tchofo, and W. Szurhaj, Conduite ?? tenir devant une premi??re crise convulsive, Journal of Neuroradiology, vol.31, issue.4, pp.281-288, 2004.
DOI : 10.1016/S0150-9861(04)97007-1

M. Dunn, D. Brenn, and R. Davenport, Early management of adults with an uncomplicated first generalised seizure, Emergency Medicine Journal, vol.22, issue.4, pp.237-242, 2005.
DOI : 10.1136/emj.2004.015651

P. Smith and M. Cossburn, Seizures: assessment and management in the emergency unit, Clinical Medicine, vol.4, issue.2, pp.118-122, 2004.
DOI : 10.7861/clinmedicine.4-2-118

M. Spitz, J. Towbin, and B. Honigman, Emergency seizure care in adults with known epilepsy, Journal of Epilepsy, vol.9, issue.3, pp.159-164, 1996.
DOI : 10.1016/0896-6974(96)00009-6

*. 18+-eisner, R. Turnbull, T. Howes, and D. , Efficacy of a ???Standard??? seizure workup in the emergency department, Annals of Emergency Medicine, vol.15, issue.1, pp.33-39, 1986.
DOI : 10.1016/S0196-0644(86)80483-8

J. Huff, D. Morris, and R. Kothari, Emergency Department Management of Patients with Seizures: A Multicenter Study, Academic Emergency Medicine, vol.47, issue.6, pp.622-628, 2001.
DOI : 10.1111/j.1528-1157.1998.tb01177.x

A. Kawkabari, A. Rosetti, and P. Despland, Survey of management of first-ever seizures in a hospital based community, Swiss Med WKLY, vol.134, pp.586-592, 2004.

W. Reinus, F. Wippold, and K. Erickson, Seizure patient selection for emergency computed tomography, Annals of Emergency Medicine, vol.22, issue.8, pp.1298-1303, 1993.
DOI : 10.1016/S0196-0644(05)80111-8

R. Kuzniecky, Neuroimaging of epilepsy: Therapeutic implications, NeuroRX, vol.21, issue.2, 2005.
DOI : 10.1602/neurorx.2.2.384

2. Onofrio, G. Rathlev, N. Ulrich, and A. , Lorazepam for the Prevention of Recurrent Seizures Related to Alcohol, New England Journal of Medicine, vol.340, issue.12, pp.915-919, 1999.
DOI : 10.1056/NEJM199903253401203

E. Beghi and A. Ciccone, Recurrence after a first unprovoked seizure. Is it still a controversial issue?, Seizure, vol.2, issue.1, pp.5-10, 1993.
DOI : 10.1016/S1059-1311(05)80096-2

A. Berg, Risk of recurrence after a first unprovoked seizure, Epilepsia, vol.49, issue.Suppl 7, pp.13-18, 2008.
DOI : 10.1111/j.1528-1167.2008.01444.x

A. Marson, A. Jacoby, and A. Johnson, Immediate versus deferred antiepileptic drug treatment for early epilepsy and single seizures: a randomised controlled trial, The Lancet, vol.365, issue.9476, pp.2007-2013, 2005.
DOI : 10.1016/S0140-6736(05)66694-9

T. Glauser, E. Ben-menachem, and B. Bourgeois, ILAE Treatment Guidelines: Evidence-based Analysis of Antiepileptic Drug Efficacy and Effectiveness as Initial Monotherapy for Epileptic Seizures and Syndromes, Epilepsia, vol.55, issue.4, pp.1094-1120, 2006.
DOI : 10.1016/S1059-1311(98)90005-X

M. Reuber, L. Hattingh, and P. Goulding, Epileptological emergencies in Accident and Emergency: a survey at St James???s University Hospital, Leeds, Seizure, vol.9, issue.3, pp.216-220, 2000.
DOI : 10.1053/seiz.2000.0386

B. Koppel, M. Daras, and A. Tuchman, Relationship between alcohol and seizures in a city hospital population, Journal of Epilepsy, vol.5, issue.1, pp.31-37, 1992.
DOI : 10.1016/S0896-6974(05)80018-0

N. Rathlev, A. Ulrich, and S. Fish, Clinical Characteristics as Predictors of Recurrent Alcohol-related Seizures, Academic Emergency Medicine, vol.50, issue.8, pp.886-891, 2000.
DOI : 10.1111/j.1530-0277.1994.tb00903.x

*. 32+-outin, H. Blanc, T. Vinatier, and I. , Prise en charge en situation d'urgence et en réanimation des états de mal épileptiques de l'adulte et de l'enfant. Réanimation, pp.4-12, 2008.

*. Calvo and M. , Elaboration d'un score prédictif de survenue récidive comitiale précoce dans les services d'urgences, Thèse de médecine, 2003.

M. Et-methodes, Nous avons réalisé une étude rétrospective observationnelle monocentrique sur l'année 2014. Les patients inclus étaient tous des patients admis aux urgences, épileptiques connus ou non, pour crise comitiale. L'objectif principal est de mesurer l

. Materials and . Methods, We conducted a retrospective study in a university hospital Every patient admitted in the ED for seizure was included. We measured the incidence of recurrence seizure in the six hours of monitoring. We also noted the etiology of the epilepsy, and the prognostics factors of seizure to try to identify the promoting factors of recurrence

M. Cles and . Epilepsie, Incidence de récidive comitiale / Facteur de risque de récidive / Evaluation des pratiques professionnelles U, F.R DES SCIENCES MEDICALES