Background: New onset seizure (NOS) clinics are common in adult neurology, they are rare in paediatric neurology. It is known that single and recurrent seizures in childhood may be associated with impaired HRQOL, and cognitive, motor and behavioural impairment.

Objective: We established a NOS Clinic for Children(NOSC) in 2011, to provide expert service and to contribute to better understanding of NOS in childhood.  The long term objective being development of targeted management strategies that cost effectively improve quality of care for children with NOS.

Methods: Details of the first 200 seen in the NOSC were analysed. Their demographics noted, seizuresc ategorized and classified, investigations (EEG, Imaging) evaluated and comorbidities recorded. In the next phase we plan to administer QOL questionnaires, Child Behaviour Check Lists, Sleep questionnaires etc.

Results: Of 200 children (106 boys), 107 were <7 years of age.  Seizures occurred in the wake state in 124, on arousal in 10, when asleep in 27, in both wake and sleep in 12, state was not recorded in 27. 117/192 (61%) EEGs were abnormal. Neuroimaging was obtained when clinically appropriate. At ~3 months follow up 80 were on regular AED, 17 had rescue medication only prescribed, 37 were on a plan to start AED if seizures recurred. More results will be presented. Families liked the NOSC and feedback was positive.

Conclusion: NOSC is useful and important. Longterm follow-up will identify predictors of seizure recurrence, associations and complications and help formulate early interventional strategies to minimize impact on HRQOL.