How do you approach escalating anti-seizure medication treatment of patients with atypical seizure semiologies?

As usual, it depends on what "atypical" means. If the seizure semiology is atypical, in that I really do not think it is a seizure, I will admit the patient to the Epilepsy Monitoring Unit (EMU) as quickly as possible for full characterization. I may or may not start a medication depending on the hi...