A 42-year-old man presents with a witnessed generalised tonic-clonic seizure. He has recovered fully and neurological examination is normal. CT head i...

Question

A 42-year-old man presents with a witnessed generalised tonic-clonic seizure. He has recovered fully and neurological examination is normal. CT head in the ED is normal and basic labs are unremarkable. According to common Canadian neurology practice, what is the best next step in evaluation?

Accepted Answer

Order brain MRI and EEG as outpatient and arrange neurology follow-up

Answer

Discharge with no further investigations or referral

Answer

Start long-term antiepileptic medication immediately without further workup

Answer

Admit for lumbar puncture in all cases

Answer

Order carotid Doppler ultrasound

ca-mccqe1 MCQ (SBA): First unprovoked seizure evaluation

A 42-year-old man presents with a witnessed generalised tonic-clonic seizure. He has recovered fully and neurological examination is normal. CT head in the ED is normal and basic labs are unremarkable. According to common Canadian neurology practice, what is the best next step in evaluation?