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Pediatrics Central Nervous System 39598c53

Which of the following is True regarding absence seizures?

A
Attack lasts for 60 to 90 seconds
B
Hyperventilation often precipitates an attack
C
Onset of disease in the first year of life
D
Attack followed by postictal confusion
High-Yield Explanation
b. Hyperventilation often precipitates an attack(Ref: Nelson's 20/e p 2831-2856, Ghai 8/e p 557-561)Typical absence seizuresUsually start at 5-8 yr of age; They do not have an aura, usually last for only a few seconds and are accompanied by eyelid flutter or upward rolling of eyes and simple automatisms like lip-smacking or picking at clothingAbsence seizures do not have a postictal periodQ and there is immediate resumption of what patient was doingHyperventilation for 3-5min can precipitate seizures & 3Hz spike-and-slow-wave dischargesEarly onset absence seizures (before the age of 4 yr) should trigger evaluation for glucose transporter defect.

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