An 8-month-old boy is evaluated for clusters of sudden flexion of the neck, trunk, and arms that occur shortly after awakening. His parents also report loss of previously acquired developmental milestones. Examination shows several hypopigmented ash leaf macules on the trunk. Which of the following is the most likely diagnosis?
- A)Infantile spasmsGABARITO
- B)Febrile seizure
- C)Absence seizure
- D)Benign rolandic epilepsy
- E)Gelastic seizure from hypothalamic hamartoma
Explicação
Infantile spasms present in infancy with brief flexor or extensor spasms, developmental regression, and often a neurocutaneous disorder such as tuberous sclerosis. This syndrome is associated with hypsarrhythmia on EEG and requires urgent treatment because of ... Ver explicação completa e trilha adaptativa →