A 25-year-old man has a first unprovoked generalised tonic-clonic seizure. He has returned to baseline, normal exam. Which statement is most appropria...

Question

A 25-year-old man has a first unprovoked generalised tonic-clonic seizure. He has returned to baseline, normal exam. Which statement is most appropriate regarding initial management?

Accepted Answer

Discuss risks and consider starting an antiseizure medicine after specialist assessment; arrange EEG and MRI

Answer

Start sodium valproate in all cases

Answer

No antiepileptic medication until after a second seizure in every case

Answer

Discharge without follow-up

Answer

Inform DVLA is unnecessary

ukmla MCQ (SBA): First seizure

A 25-year-old man has a first unprovoked generalised tonic-clonic seizure. He has returned to baseline, normal exam. Which statement is most appropriate regarding initial management?