A 16-year-old girl presents with a 3-month history of sudden bilateral arm jerks upon awakening, particularly after sleep deprivation. This morning, she experienced a generalized tonic-clonic seizure. Vital signs: BP 118/76, HR 88, RR 16, Temp 37°C, SpO2 98%. EEG shows 4-Hz spike-and-wave discharges. She takes no medications and denies head trauma or loss of consciousness between episodes. Which of the following is the most likely diagnosis?
- A)Mesial temporal sclerosis
- B)Lennox Gastaut syndrome
- C)Absence seizure
- D)Focal aware motor seizure
- E)Juvenile myoclonic epilepsyGABARITO
Explicação
Morning myoclonic jerks in an adolescent with an eventual generalized tonic clonic seizure strongly suggest juvenile myoclonic epilepsy. Sleep deprivation is a classic trigger, and EEG typically shows generalized polyspike and wave discharges. Ver explicação completa e trilha adaptativa →