A 26-year-old man presents with a first generalised tonic-clonic seizure. He has fully recovered, and examination and baseline blood tests are normal....

Question

A 26-year-old man presents with a first generalised tonic-clonic seizure. He has fully recovered, and examination and baseline blood tests are normal. What is the most appropriate initial imaging investigation?

Accepted Answer

MRI brain with epilepsy protocol

Answer

No imaging is required after a first seizure

Answer

Non-contrast CT brain

Answer

Carotid Doppler ultrasound

Answer

Skull X-ray

uk-plab-1 MCQ (SBA): First seizure work-up

A 26-year-old man presents with a first generalised tonic-clonic seizure. He has fully recovered, and examination and baseline blood tests are normal. What is the most appropriate initial imaging investigation?