neuro Q10 - tacrolimus99

[ArchivalUser]

A 34-year-old man is evaluated for a 1-month history of episodes during which he is suddenly unable to speak. He has had five such episodes, the last three during the past week. No warning precedes the episodes, and they last 20 to 30 seconds. During some episodes, the patient has twitching of the right side of his face; on one occasion the twitching progressed to involve his right arm. The patient states that he is fully aware of his surroundings during the episodes and has no other symptoms. He has no significant medical history and takes no medications. Physical examination is normal.

Which of the following is the most likely diagnosis?

A Transient ischemic attack
B Frontal lobe seizure
C Hemiplegic migraine
D Hypoglycemia

[ArchivalUser]

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[ArchivalUser]

# The manifestations of partial seizures depend on their neuroanatomic location.
# Frontal seizures are brief and are usually not associated with aura or postictal confusion
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