Neurology

Question 1

After a seizure episode, should you prescribe antiepileptics?

Answer 1

No

Not unless there are exceptional circumstances

1. Seizure activity observed on EEG
2. Presence of a neurological deficit
3. Presence of a structural brain abnormality
4. Patient, parent or carer considers the risk of a further seizure to be unacceptable

Question 2

First line treatment for generalised and focal seizures?

Answer 2

• Generalised: sodium valporate
• Focal: Carbmazepine