Question

A 24-year-old man presents with sudden loss of consciousness and tonic-clonic movements lasting 2 minutes. He had a similar unprovoked seizure 3 months ago. CT head and basic bloods are normal. According to epilepsy management principles, what is the MOST appropriate next step?

Accepted Answer

Start long-term antiepileptic drug therapy after confirming diagnosis with EEG and neurology review

Answer

Reassure and no treatment until a third seizure

Answer

Advise he may drive as soon as he feels well

Answer

Give intermittent diazepam for future events only

Answer

Arrange urgent neurosurgical review for epilepsy surgery

Practice question

A 24-year-old man presents with sudden loss of consciousness and tonic-clonic movements lasting 2 minutes. He had a similar unprovoked seizure 3 months ago. CT head and basic bloods are normal. According to epilepsy management principles, what is the MOST appropriate next step?