Question
A 6-year-old child presents with multiple blank staring episodes at the school and home each lasting for around 10 seconds ( as described by the school teacher ). What is the likely diagnosis of this child?
| A. |
Paroxysmal non-epileptic events
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| B. |
Juvenile myoclonic epilepsy
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| C. |
Childhood absence epilepsy
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| D. |
Landau kleffner syndrome
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Show Answer
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Correct Answer � C
Explanation
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Ans. C. Childhood absence epilepsy
Brief abrupt staring spells with impaired consciousness ( without loss of body tone ) are typically seen in childhood absence epilepsy. It usually occurs in children between 4 and 10 years of age who are usually developmentally normal. The classic EEG pattern seen here is ‘generalized 3-hertz spike-wave discharges. Absence seizures and associated EEG findings are easily provoked by hyperventilation. Ethosuximide and lamotrigine are first-line agents to treat followed by valproate Juvenile myoclonic epilepsy occurs in teenagers typically presenting with myoclonic jerks on awakening involving both arms, sometimes subtle manifestations including finger twitches.
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