Neurology: Seizures

Initial Evaluations

LEOs recently diagnosed with any type of seizure should have an initial evaluation with a neurologist. LEOs with seizures should have appropriate blood work, a brain MRI, and a sleep-deprived EEG unless there is no clear reason to do so (i.e., a type of provoked seizure with low risk of recurrence).

On-going Monitoring
Any LEO cleared to full duty following a seizure leading to restrictions should have on-going monitoring, at least annually, for manifestations of any seizure activity or seizure triggers. LEOs who are on a medication regimen should have levels verified on a regular basis for those medications for which levels can be obtained and should be monitored for adverse effects. The LEO with a history of seizure should provide the police physician with copies of office notes and/or a medical report from his or her treating physician after each visit or change in medication (see Appendix B). The LEO with a seizure disorder should be evaluated by the police physician at least annually.

The LEO must immediately notify the police physician of any seizure activity, loss of consciousness, impaired cognition, or change in medical regimen. The police physician will decide whether restrictions are indicated. The LEO must seek medical attention and undergo diagnostic evaluation including anti-epileptic drug level determination (if applicable).