USMLE Forum Archives - USMLE Step 3 - Neurology- Seizure
Neurology- Seizure
harry206 - 02-15-10 23:33
An 18-year-old female college student is evaluated in the emergency department because of a seizure that occurred that morning. According to her roommate, the patient woke up at her usual time and had several episodes of brief bilateral arm jerks before she fell and lost consciousness. Her whole body stiffened for 5 to 10 seconds, and then she had rhythmic clonic jerking of her arms, legs, and trunk for about 2 to 3 minutes. She remained unresponsive for 10 minutes and then gradually regained complete consciousness over the next hour. The patient remembers the arm jerks but has no recollection of the seizure. She states that she has been having arm jerks in the morning for several months, which have become worse recently. She has been staying up late every night for the last week studying for final examinations. Neurologic examination is normal.
Which of the following is the most likely diagnosis?
harry206 - 02-15-10 23:33
An 18-year-old female college student is evaluated in the emergency department because of a seizure that occurred that morning. According to her roommate, the patient woke up at her usual time and had several episodes of brief bilateral arm jerks before she fell and lost consciousness. Her whole body stiffened for 5 to 10 seconds, and then she had rhythmic clonic jerking of her arms, legs, and trunk for about 2 to 3 minutes. She remained unresponsive for 10 minutes and then gradually regained complete consciousness over the next hour. The patient remembers the arm jerks but has no recollection of the seizure. She states that she has been having arm jerks in the morning for several months, which have become worse recently. She has been staying up late every night for the last week studying for final examinations. Neurologic examination is normal.
Which of the following is the most likely diagnosis?
The correct answer and explanation will be available after you answer.
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#2
Re: Neurology- Seizure conym5 - 02-16-10 10:09 My answer is: a.
Complex partial seizures most commonly arise from the mesial temporal lobe, particularly the amygdala, hippocampus and neocortical regions..
#10
Re: Neurology- Seizure babbu5508 - 06-20-10 14:41 My answer is: a.
Complex partial seizures might arise from any lobe of the brain.The abnormal electrical activity might spread to the rest of the brain and cause a secondary generalized tonic-clonic seizure
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