A 35-year-old woman presents with a first generalised tonic-clonic seizure. CT head is normal and EEG shows epileptiform discharges. According to Cana...

Question

A 35-year-old woman presents with a first generalised tonic-clonic seizure. CT head is normal and EEG shows epileptiform discharges. According to Canadian epilepsy guidance, what is the most appropriate next step?

Accepted Answer

Begin an antiepileptic drug such as Levetiracetam and advise about driving restrictions

Answer

No treatment is needed after a single seizure

Answer

Discharge without follow-up as imaging is normal

Answer

Start long-term benzodiazepine therapy

Answer

Advise her to avoid sleep deprivation only

ca-mccqe1 MCQ (SBA): First unprovoked seizure

A 35-year-old woman presents with a first generalised tonic-clonic seizure. CT head is normal and EEG shows epileptiform discharges. According to Canadian epilepsy guidance, what is the most appropriate next step?