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A 5 month-old child presents with concern for seizure-like activity. She is<br />
arching her back and extending her right arm repeatedly. The EEG shows a<br />
recurring pattern of hypsarrhythmia. The most likely diagnosis is:<br />
<br />
a) Lennox-Gastaut Syndrome<br />
<br />
b) Simple febrile Seizures<br />
<br />
c) Infantile Spasm<br />
<br />
d) Status epilepticus<br />
<br />
e) Generalized tonic-clonic seizure<br />
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==Answer==<br />
Answer c. Compared to other seizures (particularly generalized seizures),<br />
infantile spasms appear very benign in nature and may be mistaken for evidence<br />
of gastroesophageal reflux in some infants. However, infantile spasms carry a<br />
grim prognosis of significant neurocognitive delays and abnormal motor<br />
development. The usual onset is between 2 and 7 months of age.<br />
==Notes==<br />
<references /><br />
:This question originally printed in the [http://www.amazon.com/Justin-L.-Lockman/e/B00FLG5AEE/ref=ntt_dp_epwbk_0 Pediatric Anesthesiology Review Topics] kindle book series, and appears courtesy of Naerthwyn Press, LLC.<br />
==Keywords==<br />
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