MCQs on Epilepsy

Q1.If a patient experiences one unprovoked seizure, which of the following extra symptoms should present, to diagnose it as epilepsy?a.The patient is younger than 2 years.b.There is an estimated 60% or greater likelihood of another unprovoked seizure occurring within the next 10 years.c.The patient has a family history of febrile seizures in two or more first-degree relatives.d.History of a provoked seizure.e.The seizure lasts longer than 20 minutes.Correct Answer: b.There is an estimated 60% or greater likelihood of another unprovoked seizure occurring within the next 10 years.As per ILAE 2014, epilepsy can be diagnosed when (1) there are two unprovoked or reflex seizures occurring more than 24 hours apart, (2) single unprovoked or reflex seizure with a probability of another seizure similar to general recurrence risk of at least 60% occurring over the next 10 years, and (3) diagnosis of epilepsy syndrome.