A 24-year-old man has a first generalised tonic-clonic seizure witnessed by his partner. He has no prior neurological history and returns rapidly to b...

Question

A 24-year-old man has a first generalised tonic-clonic seizure witnessed by his partner. He has no prior neurological history and returns rapidly to baseline. CT brain and routine blood tests are normal. EEG is arranged. What is the most appropriate management regarding antiepileptic medication at this stage?

Accepted Answer

Do not start antiepileptic drugs unless further seizures occur

Answer

Start levetiracetam immediately

Answer

Start valproate immediately

Answer

Start carbamazepine immediately

Answer

Admit for long-term video EEG and start therapy

au-amc MCQ (SBA): First unprovoked seizure