A 24-year-old man presents with sudden loss of consciousness and tonic-clonic movements lasting 2 minutes. He had a similar unprovoked seizure 3 month...

Question

A 24-year-old man presents with sudden loss of consciousness and tonic-clonic movements lasting 2 minutes. He had a similar unprovoked seizure 3 months ago. CT head and basic bloods are normal. According to epilepsy management principles, what is the MOST appropriate next step?

Accepted Answer

Start long-term antiepileptic drug therapy after confirming diagnosis with EEG and neurology review

Answer

Reassure and no treatment until a third seizure

Answer

Advise he may drive as soon as he feels well

Answer

Give intermittent diazepam for future events only

Answer

Arrange urgent neurosurgical review for epilepsy surgery

au-racp MCQ (SBA): Epilepsy diagnosis and initial management

A 24-year-old man presents with sudden loss of consciousness and tonic-clonic movements lasting 2 minutes. He had a similar unprovoked seizure 3 months ago. CT head and basic bloods are normal. According to epilepsy management principles, what is the MOST appropriate next step?