Question

A 19-year-old man presents after a single episode of unprovoked generalised tonic-clonic seizure. EEG shows generalised epileptiform activity; MRI brain is normal. He is otherwise healthy. What is the most appropriate initial antiepileptic drug choice in primary care prior to neurology follow-up?

Accepted Answer

Levetiracetam

Answer

Valproate sodium

Answer

Phenytoin

Answer

Carbamazepine

Answer

No antiepileptic treatment for any first seizure

Practice question

A 19-year-old man presents after a single episode of unprovoked generalised tonic-clonic seizure. EEG shows generalised epileptiform activity; MRI brain is normal. He is otherwise healthy. What is the most appropriate initial antiepileptic drug choice in primary care prior to neurology follow-up?