Gelastic seizures in clusters in a case of West syndrome after perinatal hypothalamic hemorrhage

Citation
M. Kito et al., Gelastic seizures in clusters in a case of West syndrome after perinatal hypothalamic hemorrhage, J PERIN MED, 29(4), 2001, pp. 357-359
Citations number
6
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Reproductive Medicine
Journal title
JOURNAL OF PERINATAL MEDICINE
ISSN journal
0300-5577 → ACNP
Volume
29
Issue
4
Year of publication
2001
Pages
357 - 359
Database
ISI
SICI code
0300-5577(2001)29:4<357:GSICIA>2.0.ZU;2-G
Abstract
We describe a 4-month-old Japanese infant with West syndrome with gelastic seizures in clusters. Smile developed around 3 months and gradually increas ed in frequency and intensity. Positron emission tomography showed hypoperf usion in bilateral hypothalamus. Interictal electroencephalogram (EEG) show ed hypsarrythmia. Simultaneous video/EEG monitoring was performed. At first , a smile-like episode developed every several seconds, gradually increased to an abrupt flexion or the neck and extremities, and gradually decreased to a smile-like episode at the end. Ictal EEG revealed desynchronization. A CTH was effective. Smiles are common emotional responses in infancy. Howeve r, EEG and neuroimaging should be considered in a case of perinatal asphyxi a and delayed development.