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Childhood absence epilepsy — RACP Paediatrics MCQ

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ModerateNeurology and neurodevelopmentChildhood absence epilepsyRACP Paediatrics

A 7-year-old has frequent brief episodes of staring at school. During events she stops mid-sentence, eyelids flutter and she resumes immediately without confusion. Hyperventilation in clinic reproduces a 10-second spell. What is the most likely diagnosis?

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Correct answer: D — Childhood absence epilepsy

Childhood absence epilepsy causes frequent brief impaired-awareness episodes with immediate recovery and can be provoked by hyperventilation. Focal seizures usually last longer and often have postictal symptoms or automatisms. A typical EEG pattern would support the clinical diagnosis.

Reference: RCH Seizures guideline; RACP Knowledge Guides