SELF ASSESSMENT
A 3-year-old boy is admitted to hospital following two episodes of abnormal movements. His mother reported that on two consecutive mornings, whilst having his breakfast, the right side of his face and his right hand were twitching for about 30 s. He appeared to be conscious throughout both episodes. Afterwards, he recovered completely; although following the second episode, he fell asleep on the sofa. His twin brother used to have uncomplicated febrile convulsions in the past. Growth parameters are all on the 50th centile. Clinical examination including fundoscopy was entirely normal.
a. What other history should be sought?
b. What is your differential diagnosis?
c. What investigations would you request?
d. How would you treat this condition?
e. What would you tell his parents?
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