Management of a first unprovoked seizure in an adult

CNS: central nervous system; EEG: electroencephalography; ASM: antiseizure medication.
* Coexisting medical conditions likely to be worsened by a seizure (eg, osteogenesis imperfecta, shoulder reconstruction) may warrant treatment for low-risk patients.
¶ ASM decision made in consultation with neurology; treatment should be individualized; patient preference may reasonably lead high-risk patients to defer ASM until they have a second seizure.