A 34-year-old woman presents with recurrent episodes beginning with olfactory hallucinations and déjà vu, followed by lip smacking and 2-3 minutes of altered consciousness. She reports postictal confusion and fatigue lasting 30 minutes after each event. Vital signs: BP 128/82, HR 92, RR 16, temp 37°C, SpO2 98% on room air. Brain MRI reveals left mesial temporal sclerosis. She denies tongue biting or incontinence. She takes no medications. Which diagnosis best explains these findings?
- A)Psychogenic nonepileptic seizure
- B)Focal impaired awareness seizureGABARITO
- C)Absence seizure
- D)Focal aware motor seizure
- E)Juvenile myoclonic epilepsy
Explicação
Olfactory aura, déjà vu, automatisms, and postictal confusion are classic for a focal impaired awareness seizure arising from the temporal lobe. Temporal lobe circuits involved in memory and emotion often produce these experiential auras. Ver explicação completa e trilha adaptativa →