A 33-year-old man presents with recurrent episodes of rhythmic jerking isolated to his left hand lasting 20-30 seconds while maintaining full consciousness and conversing normally. He denies postictal confusion. Vital signs: BP 128/82, HR 88, RR 16, Temp 37°C, SpO2 98%. Neurologic examination between episodes is normal. Interictal EEG shows no focal abnormalities. Brain MRI reveals no structural lesions. He takes no anticonvulsants. Which diagnosis best explains these findings?

  1. A)Psychogenic nonepileptic seizure
  2. B)Focal aware motor seizureGABARITO
  3. C)Generalized tonic clonic seizure
  4. D)Absence seizure
  5. E)Focal impaired awareness seizure

Explicação

Preserved awareness during a brief stereotyped motor event indicates a focal aware motor seizure. The seizure focus is typically in the contralateral primary motor cortex controlling the affected body region. Ver explicação completa e trilha adaptativa →

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