Home/Neurology/Question
NeurologyπŸ’¬ GeneralepilepsyseizureAEDILAE

First unprovoked seizure in adults β€” when to start AED and which drug to choose?

Prabhu Kvn
Prabhu Kvn
Other
πŸ‘ 8 viewsπŸ’¬ 0 answersπŸ• 23h ago
⚠For peer discussion only β€” not a substitute for clinical judgment. Always verify with authoritative sources.

35M with no prior seizure history presents with a witnessed generalized tonic-clonic seizure lasting 2 minutes at work. Post-ictal confusion for 20 minutes. No family history of epilepsy. Brain MRI (1.5T) is normal. EEG done 48 hours later is normal. No prior head trauma, meningitis, or substance abuse. ANA, glucose, electrolytes all normal. Per ILAE 2017 guidelines, does a single unprovoked seizure with normal MRI and EEG warrant starting AED? What is the 2-year recurrence risk? If AED is needed, which is preferred in a young male?

0
0 answers

0 Answers

πŸ’¬
No answers yet
Be the first to share your clinical insight.

Your Answer

Be specific. Cite references where possible. Your credentials will be shown with your answer.

Question Stats
πŸ‘ Views8
⬆ Votes0
πŸ’¬ Answers0
πŸ• Asked 23h ago
Asked by
Prabhu Kvn
Prabhu Kvn
Other
πŸ“ More in Neurologyβ†’