(as in musicogenic epilepsy) diagnosis and management in the case of patients with seizures associated with medical illness, the patients are firstly stabilized. they are attended to their circulation, airway, and breathing. next vital signs are assessed through a monitor, intravenous access is obtained, and concerning laboratory tests are performed. phenytoin or fosphenytoin supplemented with benzodiazepines are administered as the first line of therapy if the seizure persists for more than 5 –10 minutes. through neuroimaging, clinical assessments, and spinal-fluid examination the patients are screened for intrinsic neurological anomalies. the patients are analyzed for non-epileptic seizures. early electroencephalography is recommended if there is a possibility of non-convulsive or subtle status epilepticus. they are examined for disorders such as sarcoidosis, porphyria, and other unusual systemic disorders. information is gathered on the drug, medication history, and its withdrawal. for seizures associated with alcohol, intravenous pyridoxine and other specific antidotes are prescribed. the patient is checked for proconvulsant exposure. all underlying potential causes are considered. for instance, in a patient with an end-stage renal disease where there is a probability of hypertensive encephalopathy, blood pressure is analyzed.