Seizure Disorders USMLE Step 1 Practice Question
A 6 month old boy has clusters of sudden flexion of the neck, trunk, and extremities shortly after waking. His parents note developmental regression over the past month. EEG shows a chaotic pattern with multifocal spikes and high voltage slow waves. Which of the following is the best initial treatment?
Answer choices
- AEthosuximide
- BPrednisone or ACTHCorrect answer
- CLevetiracetam
- DValproic acid
- EVigabatrin only for febrile seizures
- FKetogenic diet as first-line therapy for infantile spasms
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