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MediumNeurologyFocal epilepsyau-amcau-racp

A 26-year-old man with focal seizures evolving to bilateral tonic-clonic seizures is diagnosed with focal epilepsy. EEG and MRI show no progressive lesion. He has one seizure every 2-3 months. According to contemporary epilepsy management principles, which monotherapy is most appropriate first-line for focal epilepsy in this adult?

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