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Pediatrics JIPMER 2019 76202214

A 15 year old boy with paial seizure who develops secondary generalization with tonic clonic seizures should be given

A
Oxycarbamzepine
B
Zonisamide
C
Lacosamide
D
Gabapentin
High-Yield Explanation
Carbamazepine or Oxcarbamazepine are the drug of choice for paial seizures with or without secondary generalization. Choice of AED according to the epileptic syndromes: No Epilepsy syndrome First line AED Second line AED 1 Juvenile Myoclonic Epilepsy VPA PB, CZP 2 Progressive Myoclonic Epilepsy VPA CZP 3 Lennox Gastaut Syndrome VPA, LTG, TPM CZP, LEV 4 Infantile Spasm ACTH, VGB VPA, CLB 5 Benign Rolandic Epilepsy CBZ, VPA, LTG PHT, LEV 6 Sever Myoclonic Epilepsy of Infancy CLB,CZP, VPA LEV, Stiripentol 7 Landau Kleffner Syndrome VPA, LTG, STEROIDS LEV, TPM 8 Myoclonic Astatic Epilepsy CZP, ZLB, VPZ LEV, LTG

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