A 28-year-old woman presents with recurrent episodes of epigastric rising sensation followed by lip smacking, staring, and confusion lasting 2 minutes, with complete post-ictal amnesia. Vital signs: BP 118/76, HR 92, RR 16, Temp 37°C, SpO2 98%. MRI reveals left hippocampal sclerosis. Serum glucose is normal. She denies tongue biting or urinary incontinence. Currently on no antiepileptic medications. Which seizure type is most likely?
- A)Psychogenic nonepileptic seizure
- B)Primary generalized tonic clonic seizure
- C)Focal impaired awareness seizureGABARITO
- D)Absence seizure
- E)Myoclonic seizure
Explicação
Focal impaired awareness seizure is correct. Temporal lobe epilepsy often produces auras such as an epigastric rising sensation, automatisms like lip smacking, impaired consciousness, and postictal confusion. Hippocampal sclerosis is a classic structural corre... Ver explicação completa e trilha adaptativa →