A 24-year-old woman presents with recurrent convulsive episodes. During a typical spell, video EEG shows asynchronous limb thrashing, eyes tightly closed, and no epileptiform activity. Vital signs reveal BP 128/76, HR 92, RR 14, SpO2 98% on room air. Serum prolactin obtained immediately post-event is normal at 8 ng/mL. She denies prior head trauma and takes no antiepileptic medications. Which of the following is the most likely diagnosis?
- A)Focal impaired awareness seizure
- B)Generalized tonic clonic seizure
- C)Absence seizure
- D)Psychogenic nonepileptic seizureGABARITO
- E)Todd paralysis
Explicação
Asynchronous movements, closed eyes during the event, normal postevent prolactin, and lack of EEG correlates point to psychogenic nonepileptic seizures. These episodes are not due to cortical epileptic discharges and are often associated with underlying psychi... Ver explicação completa e trilha adaptativa →