This protocol covers the first-line management of epilepsy in children younger than 16 years who present with generalized convulsive seizures — specifically tonic-clonic, atonic, or tonic seizure types.
The patient is a child younger than 16 years experiencing generalized tonic-clonic, atonic, or tonic seizures. These seizures are typically bilateral and symmetric, although variants with asymmetry — including head and eye deviation — are possible.
Evidence-based management begins with oral monotherapy — a single antiseizure agent selected from several Level C-supported options. The full protocol specifies which agents apply to this pediatric seizure type and how the choice is guided; only the starting principle is outlined here.