A 4-year-old boy with developmental delay presents with frequent falls from sudden loss of postural tone and intermittent staring spells. His parents report nocturnal generalized convulsions. Vital signs show BP 95/60, HR 98, RR 20, temperature 37°C, and SpO2 98% on room air. EEG demonstrates characteristic 3-Hz slow spike-and-wave pattern. Serum glucose is normal. He has no recent head trauma or fever. Which of the following is the most likely diagnosis?
- A)Febrile seizure
- B)Juvenile myoclonic epilepsy
- C)Lennox Gastaut syndromeGABARITO
- D)Absence seizure
- E)Benign rolandic epilepsy
Explicação
Multiple seizure types with intellectual disability and slow spike and wave EEG are classic for Lennox Gastaut syndrome. Atonic seizures causing drop attacks are particularly characteristic and make the condition highly morbid. Ver explicação completa e trilha adaptativa →