Question

A 32-year-old woman with a first unprovoked generalised tonic-clonic seizure regains full consciousness. CT head and blood tests are normal, and neurological examination is unremarkable. According to Canadian practice, which statement is most appropriate regarding acute management?

Accepted Answer

No antiepileptic therapy is necessary in the emergency department; arrange neurology follow-up and driving advice

Answer

Start long-term antiepileptic medication in all patients after a first seizure

Answer

Discharge without further follow-up

Answer

Start high-dose benzodiazepines long term

Answer

Admit to intensive care for continuous EEG monitoring in all cases

Practice question

A 32-year-old woman with a first unprovoked generalised tonic-clonic seizure regains full consciousness. CT head and blood tests are normal, and neurological examination is unremarkable. According to Canadian practice, which statement is most appropriate regarding acute management?