Subtle Eyelid Fluttering in Pediatrics — 9yo Child | Paediatric Neurology | SMLE Q#17711
SMLE Question #17711
Pediatrics
Paediatric Neurology
Objective: OBJ-NEURO-CP-001
Last updated: January 2026
A 9-year-old child is brought to the pediatric clinic because of declining school performance over the past 4 months. Teachers report frequent episodes of "daydreaming" in class occurring several times per hour. During these episodes, the child suddenly stops activity and stares blankly for about 10–15 seconds, with subtle eyelid fluttering; there is no postictal confusion, and the child is unaware the events occurred. Neurologic examination between episodes is normal. An EEG shows frontally predominant generalized 3-Hz spike-and-wave complexes. Which of the following drugs is most likely to be effective?
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