Cases reported "Epilepsy, Reflex"

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1/2. Benign early infantile reflex absence seizures.

    This case report, with videotape, focuses on reflex epileptic seizures of a girl who started to have seizures, provoked by tactile stimuli, at the age of twelve months. They were described as myoclonic jerks predominantly in the upper part of the body and the arms. During video/EEG monitoring at the age of fifteen months, seizures provoked by the same tactile stimuli were recorded. For clinical and electroencephalographic reasons, these are best described as absence seizures (persistence of minimal myoclonic jerking). To our knowledge, such seizures at this age have not been documented before. Treatment with antiepileptic agents was not initiated. Six months later the seizures stopped spontaneously and have not recurred. Two years later, psychomotor and behavioural development is normal [published with video- sequences].
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2/2. seizures induced by nursery rhymes and children's games.

    We report the case of a 20 years aged male patient with seizures induced by nursery rhymes and children's games. seizures were precipitated by various triggers, including thinking to a children's rhyme, to a children's game, to the action of giving a kiss with a hand. Among the above triggers, only the last one was able to induce a seizure during our observation, characterised by jerking of the upper limbs and loss of consciousness with a quick recovery. The electroclinical features were of a brief paroxysm and diffuse theta/delta activity on electroencephalogram, with frontal maximal expression. The playful aspect and the reference to childhood intrinsically associated with an emotional component seem to be the true feature all the stimuli have in common and therefore this form could be classified as an emotional one. To our knowledge seizures precipitated by these kind of stimuli have never before been reported.
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