A 27-year-old previously healthy man is brought to the emergency department after witnessed sudden loss of consciousness with tonic stiffening followed by bilateral synchronous jerking lasting 2 minutes. Vital signs show BP 156/92, HR 118, RR 20, temp 37.2°C, SpO2 98% on room air. He has a lateral tongue laceration and postictal confusion lasting 30 minutes. EEG shows generalized spike-and-wave discharges. No prior seizure history. Which of the following is the most likely diagnosis?
- A)Focal aware motor seizure
- B)Absence seizure
- C)Generalized tonic clonic seizureGABARITO
- D)Psychogenic nonepileptic seizure
- E)Benign rolandic epilepsy
Explicação
Loss of consciousness with tonic then clonic movements, tongue biting, and a prolonged postictal period is classic for a generalized tonic clonic seizure. The bilateral involvement from onset distinguishes it from a purely focal event. Ver explicação completa e trilha adaptativa →