A 16-year-old girl presents with a 3-month history of sudden bilateral arm jerks occurring shortly after waking, particularly after sleep deprivation. This morning, she experienced a generalized tonic-clonic seizure after dropping a mug. Vital signs: BP 118/76, HR 92, RR 16, Temp 37°C, SpO2 98%. EEG shows generalized 3-Hz spike-and-wave discharges. She denies focal neurologic deficits and head trauma. She takes no medications. Which diagnosis is most likely?
- A)Absence seizure
- B)Lennox Gastaut syndrome
- C)Mesial temporal sclerosis
- D)Juvenile myoclonic epilepsyGABARITO
- E)Focal aware motor seizure
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 →