A 19-year-old man with a first generalised tonic-clonic seizure has a normal neurological examination and CT head. EEG shows generalised epileptiform ...

Question

A 19-year-old man with a first generalised tonic-clonic seizure has a normal neurological examination and CT head. EEG shows generalised epileptiform discharges. According to Canadian epilepsy guidelines, what is the most appropriate next step?

Accepted Answer

Initiate an appropriate antiseizure medication and provide counselling on safety and driving restrictions

Answer

No treatment is indicated after a first seizure

Answer

Start benzodiazepines on an as-needed basis only

Answer

Allow unrestricted driving because CT was normal

Answer

Recommend surgery immediately

ca-mccqe1 MCQ (SBA): First unprovoked seizure

A 19-year-old man with a first generalised tonic-clonic seizure has a normal neurological examination and CT head. EEG shows generalised epileptiform discharges. According to Canadian epilepsy guidelines, what is the most appropriate next step?