A 26-year-old man has a first generalised tonic-clonic seizure witnessed by his partner. He recovers fully. CT head and basic blood tests are normal, ...

Question

A 26-year-old man has a first generalised tonic-clonic seizure witnessed by his partner. He recovers fully. CT head and basic blood tests are normal, and there is no history of prior neurological disease. What is the most appropriate next step in evaluation?

Accepted Answer

Order urgent MRI brain and EEG as an outpatient

Answer

Start long-term antiepileptic therapy immediately

Answer

Provide reassurance only and no further investigations

Answer

Perform lumbar puncture routinely

Answer

Advise no driving for 24 hours only

ca-mccqe1 MCQ (SBA): First unprovoked seizure

A 26-year-old man has a first generalised tonic-clonic seizure witnessed by his partner. He recovers fully. CT head and basic blood tests are normal, and there is no history of prior neurological disease. What is the most appropriate next step in evaluation?