Question

A 72-year-old man presents after a witnessed generalised tonic-clonic seizure lasting 2 minutes. He has no prior seizure history. Post-ictally he is confused but gradually improving. CT brain is normal and metabolic panel is unremarkable. According to Australian epilepsy practice, what is the most appropriate next step?

Accepted Answer

Admit for observation and arrange outpatient MRI brain and EEG before deciding on long-term therapy

Answer

Start long-term antiepileptic medication immediately

Answer

Discharge without follow-up as CT is normal

Answer

Treat with benzodiazepines daily to prevent recurrence

Answer

Commence aspirin for stroke prevention

Practice question