A child with Epileptic and nonepileptic Head Drops

Abstract

This paper aims to document a case of head drops with distinct epileptic and nonepileptic phases. A baby, born at term and weighing 2.9 kg, developed seizures and hypoglycemia (blood sugar 39 mg/dl) at 24 hours of age. She received special care for 24 hours and advice to continue phenobarbital for one year. Tonic- clonic seizures recurred at six weeks of age and were controlled by a combination of four-drug anticonvulsants. The treatment was tapered off after two years of seizure-free interval. At seven years of age, the tonic-clonic convulsions reappeared, only to be replaced by head drops after eight months of intensive antiseizure treatment. The head drops were nonepileptic for two years and epileptic later on before subsiding altogether with a new antiseizure combination. Cognition rapidly improved afterward.