A 24-year-old woman with no prior medical history presents to the emergency department after experiencing a generalized tonic-clonic seizure lasting 2 minutes. She reports irregular menstrual cycles and amenorrhea for the past 6 months. On examination, she has facial hirsutism and mild acne. Vital signs are stable post-ictal. Serum electrolytes, glucose, and renal function are normal. Urine pregnancy test is negative. Noncontrast head CT is unremarkable. Which of the following is the most likely diagnosis?
- A)Polycystic ovary syndrome with coincidental first seizure
- B)Idiopathic generalized epilepsyGABARITO
- C)Temporal lobe epilepsy secondary to mesial temporal sclerosis
- D)Acute symptomatic seizure from acute intermittent porphyria
- E)Pseudoseizure disorder with hormonal comorbidity
Explicação
Idiopathic generalized epilepsy (IGE) is the most common seizure disorder in young adults, accounting for 30% of all epilepsy cases. First-time generalized tonic-clonic seizures in an otherwise healthy young adult with normal imaging and laboratory studies str... Ver explicação completa e trilha adaptativa →