Self-induced seizures by somatosensory stimulation are rare. We describe two epileptic patients with self-induced seizures presumably by peri-orbital somatosensory stimulation. Two infants with severely delayed psychomotor development and poor visual acuity after acute subdural hemorrhage in early infancy had been diagnosed as having West syndrome. They evolutionally became to show serial self-induced seizures preceded by rubbing eye with finger in one case and touching right eyebrow with the back of left hand in the other case. Video-electroencephalography (EEG) monitoring was useful to confirm self-induced seizure by peri-orbital self-stimulation. In patients with serial seizures preceded by peculiar behaviors, we need to consider the possibility of self-induced seizures, even if they have a history of West syndrome and severe psychomotor retardation.
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http://dx.doi.org/10.1016/j.braindev.2011.11.004 | DOI Listing |
Seizure
May 2024
Department of Paediatric Neurology, Red Cross War Memorial Children's Hospital, Neuroscience Institute, University of Cape Town, Cape Town, South Africa.
Cureus
May 2023
Department of Addiction Medicine, Larkin Community Hospital, South Miami, USA.
In reality, the lines between factitious disorder, functional disorder, and malingering are quite blurred. In factitious disorder and malingering, patients consciously and deliberately create false medical and/or psychiatric symptoms for self-gain, often approaching multiple healthcare facilities to evade detection. Although the factitious disorder is pervasive, and the literature lacks accurate and consistent information, comorbidity with nonepileptic seizure (NES, a component of functional disorder) is quite commonly documented.
View Article and Find Full Text PDFNeurology
May 2022
From the Department of Human Neurosciences (E.C.I., A.M., C.D.B.), Sapienza, University of Rome, Italy; Department of Precision Medicine and Genomics (E.C.), Department of Medicine, Columbia University, New York, NY; Department of Neuropediatrics (G.R.), University Children's Hospital Zurich, Switzerland; Department of Neurology (R.H.C.), Hospital de Pediatría "Prof. Dr. Juan P Garrahan," Buenos Aires, Argentina; Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia" (L.G., V.S.), Section of Neurosciences, University of Catania, Italy; Departments of Neurology and Clinical Neurophysiology (T.Y., B.B.), Istanbul University, Istanbul Faculty of Medicine, Turkey; Department of Paediatric Clinical Epileptology, Sleep Disorders and Functional Neurology (E.P., M.C., A.A.), University Hospitals of Lyon (HCL), member of the ERN EpiCARE, France; Child and Adolescent Neuropsychiatry Unit (F.F.O.), Department of Medicine, Surgery and Dentistry, University of Salerno, Italy; Epilepsy Unit (B.G.G.), Neurology Service, Hospital Universitario and IIS Fundación Jiménez Díaz and CIBERER, Madrid, Spain; Department of Clinical and Experimental Epilepsy (S.B., K.S., S.M.S.), UCL Queen Square Institute of Neurology, London, UK; IRCCS NEUROMED (S.C., G.D.G.), Pozzilli, Isernia, Italy; Institute of Neurology (S.B.), UCL, London, UK; Institute of Neurology (F.F., A.L., A.G.), University Magna Graecia, Catanzaro, Italy; Department of Neuroscience and Reproductive and Odontostomatological Sciences (A.C.), Federico II University, Naples, Italy; Clinic for Neuropediatrics and Neurorehabilitation (G.J.K.), Epilepsy Center for Children and Adolescents, Schoen Clinic Vogtareuth, Germany; Department of Neurosurgery and Epilepsy (D.G.A.K.-N.T.), University Medical Center, Utrecht University, the Netherlands; and Pediatric Neurology and Muscular Diseases Unit (P.S.), IRCCS "Istituto Giannina Gaslini," Genova, Italy.
Background And Objectives: Eyelid myoclonia (EM) with absences (EMA) is a generalized epilepsy syndrome with a prognosis and clinical characteristics that are still partially undefined. We investigated electroclinical endophenotypes and long-term seizure outcome in a large cohort of patients with EMA.
Methods: In this multicenter retrospective study, patients with EMA with ≥5 years of follow-up were included.
Curr Res Pharmacol Drug Discov
December 2021
Department of Child Health, University of Missouri, Columbia, MO, 65201, USA.
Introduction: Dravet Syndrome (DS) is a rare epileptiform disorder typically presenting within the first year of life of a normally developing infant. It is characterized by several prolonged seizures that are often resistant to current anti-epileptic drug (AED) regimens. This paper outlines the history and clinical trials of the drug fenfluramine, a drug that when used in addition to AED regimens may provide hope to children affected by DS.
View Article and Find Full Text PDFNeurol India
January 2022
Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
Background: Sporadic nonlesional intractable visual-sensitive epilepsies of childhood represent a challenging subset of epilepsies in terms of management and prognostication given a propensity to evolve as epileptic encephalopathy.
Objective: To study the genetic heterogeneity of drug-resistant visual sensitive epilepsy of childhood.
Methods: A retrospective chart review was conducted on patients in the pediatric age group between 2016 and 2018, with drug-resistant epilepsy (DRE) and video electro encephalography (VEEG) documented reflex photosensitivity, eye-condition sensitivity.
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