A child with Epileptic and nonepileptic Head Drops
Main Article Content
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.
Article Details
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
2. Ito Y, Kidokoro H, NegoroT et al. Paroxysmal nonepileptic events in children with epilepsy. Epilepsy Research 132 (2017) 59–63.
3. Brunquell P, Keever MM, Russman BS. Differentiation of epileptic from nonepileptic head drops in children. Epilepsia 1990; 31:401-405.
4. Asano, E., Pawlak, C., Shah, A., Shah, J., Luat, A.F., Ahn-Ewing, J., Chugani, H.T., 2005. The diagnostic value of initial video-EEG monitoring in children? Review of 1000 cases. Epilepsy Res. 66, 129–135.
5. Von Canpen JS, Valentian FA, Jansen FE,Joels M, Braun KPJ. Seizure occurrence and the circadian rhythm of cortisol: a systematic review. Epilepsy and Behavior 2015;47: P132-7.
6. Stroink H, van Donselar CA, Geerts AT, et al. Inter-rater agreement of the diagnosis and classification of the first seizure in childhood. The Dutch study of epilepsy in childhood. J Neurol Neurosurg Psychiatry2004;75:341–5.
7. Capovilla G, Montagnini A, Peruzzi C, Beccaria F. Head atonic attacks: a new type of benign nonepileptic attack in infancy strongly mimicking epilepsy. Epileptic Disord 2013; 15 (1): 44-8.