A 24-year-old woman with no prior seizure history presents after a single generalized tonic-clonic seizure following 3 days of poor sleep, intense stress from medical school exams, and binge drinking the night before. Vital signs: BP 118/76, HR 92, RR 16, Temp 37.2°C, SpO2 98%. Serum glucose 94 mg/dL and electrolytes are normal. Head CT shows no acute abnormalities. She denies tongue biting or incontinence. Which of the following is the most appropriate management?
- A)Admit for continuous EEG monitoring for 48 hours
- B)Start two antiepileptic drugs to prevent recurrence
- C)Perform lumbar puncture to rule out infection
- D)Observe without antiepileptic drugs and address provoked seizure triggersGABARITO
- E)Start antiepileptic drug monotherapy immediately
Explicação
This is a provoked seizure (sleep deprivation, stress, alcohol) in a patient with no prior seizure history and normal imaging. Provoked seizures do not require long-term antiepileptic therapy; seizure risk is low with avoidance of triggers. Patient education r... Ver explicação completa e trilha adaptativa →