Question of the Week # 354

354)  A 74 year old woman is being treated in the hospital for community acquired pneumonia. She has been receiving ceftriaxone and azithromycin. On second day after admission she is found by the nurse to be staring in to the space and shaking her left extremity. When you walk in to the room,  she recognizes you and reports that she is unable to control movements in her left extremity. On examination, she is afebrile and vitals are stable. A rhythmic movement of her left upper extremity is noted. She is conscious  and is repeatedly grinding her teeth. An electroencephalogram has been ordered. Based on the clinical information, which of the following is the most likely diagnosis?

A)  Complex Partial Seizures

B) Generalized Tonic-Clonic Seizures

C) Absence Seizures

D) Aura

E) Drug induced myoclonus

7 Responses

  1. C) Absence Seizures

    • While Absence Seizure usually occurs in Children it could occasionally occur in elderly…complex partial seizure can also have staring spells…only EEG can say what it is….Dr Red could you please explain this one.

  2. E)

  3. E

  4. A

  5. e

  6. a

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: