Intermittent staring spells, lip smacking, and strange smells! - USMLE Forums
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Old 03-17-2012
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Neuro Intermittent staring spells, lip smacking, and strange smells!

A 42-year-old man is brought to the physician by his wife because of a 2-month history of staring spells that last 1 to 2 minutes each. During episodes, he also smacks his lips and picks at his shirt collar. Four years ago, he was comatose for 2 weeks after sustaining a head injury in a motorcycle collision; he required 6 months of rehabilitation. He reports that, over the past year, he has had intermittent episodes of smelling burnt rubber that occur approximately every 2 weeks. He hears an intense hissing sound during these episodes. Examination shows no abnormalities. Which of the following is the most likely diagnosis?

A) Absence seizures
B) Complex partial seizures
C) Transient ischemic attack
D) Tourette's disorder
E) Limbic encephalopathy
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  #2  
Old 03-17-2012
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It cannot be absence seizure since its most common in kids and its just staring with no movement disorder....it cannot be c and e...D. should be diagnosed in childhood so i think B is the answer

what is the q source plz?
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Old 03-17-2012
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its temporal lobe seizure. its complex partial seizure...
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Old 03-17-2012
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Temporal lobe seizure, so the ans should be (B) Complex Partial Seizure
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Old 03-18-2012
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the ans is B. Complex partial seizure.
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