Brief Sudden Loss Of in Pediatrics — 4yo Child | Paediatric Neurology | SMLE Q#17302

SMLE Question #17302

Pediatrics Paediatric Neurology
Last updated: February 2026
A 4-year-old boy has seizures since age 3 with brief sudden loss of muscle tone causing falls, intermittent tonic stiffening spells, and atypical absence episodes. He has developmental delay and behavioral difficulties. Interictal EEG during wakefulness and sleep shows generalized slow spike-and-wave discharges at 1.5–2.5 Hz with multifocal spikes. What is the most likely diagnosis?

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