A 3-year-old boy presents with recurrent brief episodes of sudden loss of muscle tone lasting 5-10 seconds during play, after which he awakens alert. His mother reports he has had several secondarily generalized tonic-clonic seizures at night. EEG shows characteristic 3 Hz spike-and-wave discharges. Which of the following medications is most appropriate?
- A)Lamotrigine
- B)EthosuximideGABARITO
- C)Levetiracetam
- D)Phenytoin
- E)Carbamazepine
Explicação
This presentation is classic for childhood absence epilepsy (CAE): brief episodes of behavioral arrest with characteristic 3 Hz spike-and-wave on EEG. Ethosuximide is the first-line medication for absence seizures specifically and is highly effective at preven... Ver explicação completa e trilha adaptativa →