A 29-year-old man with a first unprovoked generalised tonic-clonic seizure has normal CT brain, normal electrolytes and a normal awake EEG. He has ful...

Question

A 29-year-old man with a first unprovoked generalised tonic-clonic seizure has normal CT brain, normal electrolytes and a normal awake EEG. He has fully recovered. What is the most appropriate next step?

Accepted Answer

Advise no driving for a defined period and arrange neurology follow-up without starting medication

Answer

Start long-term antiseizure medication immediately

Answer

Order emergent MRI and admit for observation

Answer

Begin benzodiazepine prophylaxis

Answer

Discharge without counselling or follow-up

ca-mccqe1 MCQ (SBA): First unprovoked seizure

A 29-year-old man with a first unprovoked generalised tonic-clonic seizure has normal CT brain, normal electrolytes and a normal awake EEG. He has fully recovered. What is the most appropriate next step?