A 6-month-old infant presents with clusters of sudden brief flexion movements of the arms and trunk occurring 10-20 times per episode, dozens of episodes daily. The mother reports these have progressively worsened over 2 weeks. EEG shows hypsarrhythmia. Developmental regression is noted. Which of the following is the most likely diagnosis?
- A)Rolandic epilepsy
- B)Lennox-Gastaut syndrome
- C)West syndromeGABARITO
- D)Juvenile myoclonic epilepsy
- E)Benign neonatal seizures
Explicação
West syndrome (infantile spasms) presents with the triad of: infantile spasms (jackknife/salaam seizures), hypsarrhythmia on EEG, and developmental regression. Onset is typically 4-12 months. It requires urgent treatment with ACTH or vigabatrin. Ver explicação completa e trilha adaptativa →