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Laboratory tests can be done to rule out treatable causes of seizures (e.g., hypoglycemia, altered electrolyte concentrations, infections, etc.) that do not represent epilepsy Other Diagnostic Tests EEG is very useful in the diagnosis of various seizure disorders An epileptiform EEG is found in only approximately 50% of the patients who have epilepsy A prolactin serum level obtained within 10 to 20 minutes of a tonicclonic seizure can be useful in differentiating seizure activity from pseudoseizure activity but not from syncope 5 Although magnetic resonance imaging (MRI) is very useful (especially imaging of the temporal lobes), a computed tomography (CT) scan typically is not helpful except in the initial evaluation for a brain tumor or cerebral bleeding Partial (focal) seizures begin in one hemisphere of the brain andunless they become secondarily generalizedresult in an asymmetric motor manifestation