While the presenting signs and symptoms of epileptic seizures are complex and make diagnosing epilepsy challenging, other factors contribute to barriers for epilepsy diagnosis. Past studies document that limited access to health care and lack of public education about epilepsy limits diagnosis and treatment of epilepsy, especially in less socioeconomically developed regions.6,7 However, past studies also show that delay in epilepsy diagnosis is prominent in areas where there is adequate access to medical care. In a study from Melbourne, Australia, in 220 adults who presented with an epileptic index seizure (the seizure which led the patient to seek medical attention), 41% had prior events. The delay from first event to presentation was >4 weeks in 36% of patients, >6 months in 21%, and >2 years in 14%. Initial seizures associated with a delay in presentation were nondisruptive or nonconvulsive and therefore more subtle in presentation. Relative socioeconomic disadvantage was also associated with delay to presentation. There was a median diagnostic delay of 8.7 months among those with a history of prior events. In a study by Gasparini et al from Italy,2 there was a similar diagnostic delay of 15.6 months in a cohort of patients with newly diagnosed cryptogenic focal epilepsy. The proportion of patients with a diagnostic delay of 4 weeks or more was 81%.