A 23-year-old man has a first unprovoked generalised tonic-clonic seizure. CT head and blood tests are normal. EEG shows focal epileptiform discharges...

Question

A 23-year-old man has a first unprovoked generalised tonic-clonic seizure. CT head and blood tests are normal. EEG shows focal epileptiform discharges. He is counselled about driving restrictions. What is the most appropriate approach to antiepileptic therapy?

Accepted Answer

Discuss risks and benefits; consider starting an antiepileptic drug as recurrence risk is significant

Answer

Start long-term antiepileptic medication immediately in all cases

Answer

No antiepileptic therapy is ever indicated after a first seizure

Answer

Start benzodiazepines daily as prophylaxis

Answer

Treat only with herbal remedies

au-amc MCQ (SBA): Epilepsy new diagnosis

A 23-year-old man has a first unprovoked generalised tonic-clonic seizure. CT head and blood tests are normal. EEG shows focal epileptiform discharges. He is counselled about driving restrictions. What is the most appropriate approach to antiepileptic therapy?