Question

A 6-year-old boy presents with a first afebrile generalised tonic-clonic seizure lasting 3 minutes, with full recovery and normal neurological examination. CT brain in the emergency department is normal. What is the most appropriate next step in management?

Accepted Answer

Arrange outpatient EEG and paediatric neurology review

Answer

Start long-term antiepileptic therapy immediately

Answer

Discharge without follow-up

Answer

Admit for urgent MRI and lumbar puncture

Answer

Start prophylactic benzodiazepines twice daily

Practice question

A 6-year-old boy presents with a first afebrile generalised tonic-clonic seizure lasting 3 minutes, with full recovery and normal neurological examination. CT brain in the emergency department is normal. What is the most appropriate next step in management?