Epilepsy

Question 1

If the patient in the vignette has had two unprovoked (normal EEG and MRI, no history of trauma/infection) generalised tonic-clonic seizures (GTCS). What medications do we give?

Answer 1

Sodium Valproate

Sodium Valproate is widely used as first-line therapy for GTCS

Question 2

2nd line treatment of GTCS after Sodium Valproate?

Answer 2

Phenytoin

Question 3

Antiepiletic that may be used to manage focal seizures but is contraindicated for GTCS and other generalised seizures as it may exacerbate seizure activity?

Answer 3

Carbamazepine