A 60-year-old man is admitted to the Emergency Department following a witnessed tonic-clonic seizure lasting 4 minutes. He has no prior history of sei...

Question

A 60-year-old man is admitted to the Emergency Department following a witnessed tonic-clonic seizure lasting 4 minutes. He has no prior history of seizures. His observations are stable, GCS is 15, and neurological examination is normal. What is the most appropriate immediate management plan?

Accepted Answer

Perform urgent CT head scan

Answer

Start lifelong sodium valproate

Answer

Discharge home with advice to return if seizure recurs

Answer

Arrange outpatient neurology review

Answer

Admit for observation and start levetiracetam

ukmla MCQ (SBA): First Seizure

A 60-year-old man is admitted to the Emergency Department following a witnessed tonic-clonic seizure lasting 4 minutes. He has no prior history of seizures. His observations are stable, GCS is 15, and neurological examination is normal. What is the most appropriate immediate management plan?