A 29-year-old woman has had two unprovoked generalised tonic-clonic seizures 6 months apart. EEG shows generalised epileptiform activity. Neurological...

Question

A 29-year-old woman has had two unprovoked generalised tonic-clonic seizures 6 months apart. EEG shows generalised epileptiform activity. Neurological examination and MRI brain are normal. What is the most appropriate management?

Accepted Answer

Start long-term antiepileptic therapy

Answer

Reassure; no treatment is needed

Answer

Advise she may drive if seizure-free for 1 month

Answer

Prescribe short-acting benzodiazepine as sole long-term therapy

Answer

Arrange neurosurgical evaluation for epilepsy surgery

au-amc MCQ (SBA): Epilepsy

A 29-year-old woman has had two unprovoked generalised tonic-clonic seizures 6 months apart. EEG shows generalised epileptiform activity. Neurological examination and MRI brain are normal. What is the most appropriate management?