A 7-year-old boy is brought to the ED after experiencing two brief episodes of staring, unresponsiveness, and lip smacking lasting 10-15 seconds each, separated by 2 hours. During episodes, his eyes flutter and he doesn't respond to his mother. EEG shows a 3 Hz spike-and-wave pattern. Which of the following is the most likely diagnosis?
- A)Atonic seizure
- B)Temporal lobe epilepsy
- C)Focal seizure with impaired awareness
- D)Absence seizure (petit mal epilepsy)GABARITO
- E)Generalized tonic-clonic seizure
Explicação
Absence seizures are brief episodes (5-30 seconds) of staring and behavioral arrest with abrupt onset and offset, occurring in childhood. The pathognomonic 3 Hz spike-and-wave EEG pattern is diagnostic. Lip smacking and eye fluttering may occur but are less pr... Ver explicação completa e trilha adaptativa →