每日一题_2023.07.11

The father of a 7-year-old boy is contacted by his child’s schoolteacher because she is con- cerned about his inattentiveness during class. The teacher states that the boy appears to be daydreaming multiple times each day, during which time he blinks his eyes repeatedly. She reports that the boy’s daydreaming episodes are brief and he is able to refocus shortly following the daydream. What is the most appropriate therapy for the child’s underlying condition?

一名7岁男孩的老师联系了他的父亲，因为她担心他在课堂上注意力不集中。老师说，这个男孩似乎每天做很多次白日梦，在此期间他反复眨眼。她报告说，这个男孩做白日梦的时间很短，他在做白日梦后很快就能重新集中注意力。儿童的基础疾病最合适的治疗方法是什么?

(A) Carbamazepine 卡马西平

(B) Clonazepam )氯硝西泮

(C) Ethosuximide 乙琥胺

(D) Gabapentin加巴喷丁

(E) Methylphenidate 哌甲酯

(F) Tiagabine 替加滨

答案解析：

这男孩有失神发作的病史。在临床检查中，典型的失神发作表现为短暂的凝视发作，没有先兆或发作后阶段。儿童在发作期间没有反应，对发作期间发生的事情遗忘。事实上，病人通常没有意识到已经发生了癫痫。在脑电图上可见规则对称的3hz尖峰。乙琥胺是失神(小发作)发作病例的主要治疗选择。

正确答案：C