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A 68-year-old man presents to the Emergency Department following a witnessed generalised tonic–clonic seizure. He has no previous history of epilepsy.
He has returned to his normal mental state. Neurological examination is normal. There is no history of recent head trauma, and he is not taking anticoagulants.
According to the RCEM 2024 recommendations, what is the most appropriate next step?

A. Arrange first fit clinic in a week

B. gp to order MRI as opd

C. Computed tomography of the brain

D. No neuroimaging is required if blood tests are normal

E. Arrange outpatient neuroimaging with neurology in 6 weeks

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References

https://rcem.ac.uk/wp-content/uploads/2024/08/RCEM_Position_Statement_Recommendations_for_Adults_Presenting_to_the_Emergency_Department_with_Seizures_v2.pdf

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