Devkota, A RKarki, A R2026-06-122026-06-122010https://hdl.handle.net/20.500.14572/6455A. R. Devkota Medical Escort, International Organization for Migration, Baluwatar, Nepal A. R. Karki Medical Escort, International Organization for Migration, Baluwatar, NepalAbstract We report three diagnosed cases of epilepsy under medication that were on long haul flight from Kathmandu to different destinations in USA with different clinical outcomes during flight. The first case had brief seizure like episode during flight and was given oral benzodiazepine. The second case was put on prophylactic oral benzodiazepine to induce sleep and reduce seizure threshold and had an uneventful flight. The third case developed generalized tonic clonic seizure and was managed accordingly. Keywords: Epilepsy, long haul flight, Complex partial seizuresen-USEpilepsylong haul flightComplex partial seizuresSeizure precipitated during long haul flightArticle