An EEG is obtained and shows epileptiform discharges over the right temporal head region. What is the best next course of action in terms of antiseizure therapy?
History • Febrile convulsion in childhood following pneumonia at the age of 10 • No birth-related or developmental complications Medications • Fluoxetine, 40 mg once daily Family History • Uncle with alcohol-associated withdrawal seizures Labs • Electrolytes: Normal • Blood glucose level: Normal • Urine toxicology screening: Negative Discussion Questions 1. What is an important risk factor that might have contributed to LS’s epilepsy? 2. Initial workup reveals normal electrolytes, normal blood glucose level, and negative urine toxicology screening. Which diagnostic studies should be obtained to further understand the risk of recurrent unprovoked seizures? 3. An EEG is obtained and shows epileptiform discharges over the right temporal head region. What is the best next course of action in terms of antiseizure therapy?
