Question

A 29-year-old with first unprovoked generalized tonic-clonic seizure has normal MRI but EEG with epileptiform discharges. What is the effect of immediate antiseizure therapy on recurrence?

Accepted Answer

Reduces 2-year recurrence risk but not long-term remission

Answer

No effect on 2-year recurrence

Answer

Improves long-term remission rates

Answer

Worsens quality of life without benefit

Answer

Mandatory treatment in all first seizures

Practice question

A 29-year-old with first unprovoked generalized tonic-clonic seizure has normal MRI but EEG with epileptiform discharges. What is the effect of immediate antiseizure therapy on recurrence?