1 MCQs in Medicine for NEET PG
A 62-year-old man presents with a 3-week history of focal seizures with impaired awareness, progressing to generalized tonic-clonic seizures and episodes of nonconvulsive status epilepticus. Brain MRI shows mesial temporal lobe hyperintensities bilaterally. CSF analysis reveals lymphocytic pleocytosis with oligoclonal bands. EEG demonstrates the pattern marked **A** in the diagram — bitemporal slowing with frequent temporal sharp waves and frank seizures. Serum and CSF testing confirms anti-GABA-B receptor IgG antibodies. Which of the following is the MOST critical next step in management?
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