A 16-year-old girl presents to the neurology clinic with a 6-month history of three unprovoked generalized tonic-clonic seizures. Vital signs are stable. Brain MRI is normal. EEG demonstrates bilateral synchronous 3-Hz spike-and-wave discharges consistent with idiopathic generalized epilepsy. She has no prior history of febrile seizures, head trauma, or central nervous system infection. She is not currently on any antiepileptic drugs. She asks which lifestyle modification would be most likely to reduce her seizure recurrence risk. Which of the following represents the most evidence-based intervention?
- A)Avoiding sleep deprivation and maintaining regular sleep-wake cyclesGABARITO
- B)Limiting caffeine intake to <100 mg daily from all sources
- C)Avoiding hot baths and saunas to prevent temperature elevation
- D)Restricting dietary refined carbohydrates and simple sugars
- E)Minimizing television and computer screen time to <2 hours daily
Explicação
Sleep deprivation is a well-established and evidence-based seizure precipitant in generalized epilepsy, particularly in idiopathic generalized epilepsy. Maintaining consistent sleep-wake cycles and adequate sleep duration (7-9 hours nightly) is one of the most... Ver explicação completa e trilha adaptativa →