A 30 year old man has a witnessed generalised tonic clonic seizure at work. He has no prior history of seizures, head trauma or substance use. Examina...

Question

A 30 year old man has a witnessed generalised tonic clonic seizure at work. He has no prior history of seizures, head trauma or substance use. Examination in the emergency department is normal and he has fully recovered. Which investigation is most important as part of his initial workup?

Accepted Answer

EEG and brain imaging to look for structural lesions

Answer

Serum prolactin level

Answer

Lumbar puncture in all first seizures

Answer

No investigations; arrange follow up only if seizures recur

Answer

Genetic testing for epilepsy syndromes

ca-mccqe1 MCQ (SBA): First unprovoked seizure

A 30 year old man has a witnessed generalised tonic clonic seizure at work. He has no prior history of seizures, head trauma or substance use. Examination in the emergency department is normal and he has fully recovered. Which investigation is most important as part of his initial workup?