A 9-year-old boy presents with recurrent nocturnal episodes of unilateral facial twitching, drooling, and speech arrest lasting 1-2 minutes, during which he remains fully aware. Vital signs are normal (BP 110/70, HR 82, RR 18, Temp 37°C). Neurologic examination between episodes is completely normal. Brain MRI shows no structural abnormalities. He takes no antiepileptic medications. What is the most likely diagnosis?

  1. A)Generalized tonic clonic seizure
  2. B)Benign rolandic epilepsyGABARITO
  3. C)Absence seizure
  4. D)Juvenile myoclonic epilepsy
  5. E)Focal impaired awareness seizure

Explicação

Nocturnal focal facial seizures with preserved awareness in an otherwise healthy school age child are classic for benign rolandic epilepsy. This syndrome often remits spontaneously during adolescence. Ver explicação completa e trilha adaptativa →

Fazer o diagnóstico grátis de USMLE