A 25-year-old man has his first generalised tonic-clonic seizure. CT head is normal, and EEG shows a generalised spike-and-wave pattern. He has no neu...

Question

A 25-year-old man has his first generalised tonic-clonic seizure. CT head is normal, and EEG shows a generalised spike-and-wave pattern. He has no neurological deficits and normal labs. According to Canadian epilepsy guidelines, what is the most appropriate next step?

Accepted Answer

Discuss risks and benefits and consider starting an antiseizure medication

Answer

Immediately start lifelong antiepileptic therapy in all first seizures

Answer

No follow-up is required if imaging is normal

Answer

Advise he can continue driving as normal

Answer

Begin chronic benzodiazepine therapy

ca-mccqe1 MCQ (SBA): First unprovoked seizure

A 25-year-old man has his first generalised tonic-clonic seizure. CT head is normal, and EEG shows a generalised spike-and-wave pattern. He has no neurological deficits and normal labs. According to Canadian epilepsy guidelines, what is the most appropriate next step?