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

9 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. d

  7. Aura is also simple partial seizure.

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