Question #5

Written by: John McLaren
Published: 10 November 2025, 10:04 AM

An 8-year-old male with no significant past medical history, without developmental delays, presents after transient episodes during the sleep wake transition characterized by sitting up, left facial droop with left facial twitching and inability to speak. Consciousness is mostly preserved, reporting that he is able to understand others around him. He underwent routine, sleep deprived EEG. One epoch is shown in Figure 1.

Which of the following pediatric epilepsy syndromes is most consistent with the EEG findings and the episodes in question: