Appendix A
Seizure Diary Template

Written and medically reviewed by
Prof. Dr. Burak TatlıSpecialist in Pediatric Neurology & Developmental Pediatrics
İstanbul University-Cerrahpaşa Faculty of Medicine · Nörogender Association
Last reviewed:
You can make copies of the template below and use it. Recording each seizure in as much detail as possible helps your physician guide the treatment.
- Date
- Time
- Duration
- How the seizure looked
- Possible trigger
- Afterward / Notes
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