Question

A 28 year old man has a first generalised tonic clonic seizure witnessed by his partner. He recovers fully. There is no past history of seizures, and examination is normal. What is the most appropriate initial investigation to help determine a cause and guide management?

Accepted Answer

Electroencephalogram and brain imaging with MRI or CT

Answer

Lumbar puncture in all first seizures

Answer

Serum prolactin alone

Answer

No investigations are required

Answer

Carotid Doppler ultrasound

Practice question

A 28 year old man has a first generalised tonic clonic seizure witnessed by his partner. He recovers fully. There is no past history of seizures, and examination is normal. What is the most appropriate initial investigation to help determine a cause and guide management?