Complex partial seizures of infancy
M. S. Duchowny
Ictal manifestations of complex partial seizures in infancy have not been
described previously. Using long-term video/electroencephalographic and
telemetric monitoring techniques, 187 seizures were recorded in 14 infants
under 2 years of age. With one exception, the infants were profoundly
delayed with intractable seizures. Nine had marked bilateral abnormalities
on computed tomographic scan. The seizure manifestations noted most
frequently consisted of behavioral arrest with forced lateralized deviation
of the head and eyes and tonic upper-extremity extensor stiffening. Complex
facial automatisms such as chewing, sucking, mouthing, and blinking were
relatively common. Ictal paroxysmal onset was always lateralized on
electroencephalograms, whereas the interictal recordings revealed
multifocal epileptic discharges, generalized slowing, and voltage
attenuation. The ictal behavioral manifestations and electric seizure
patterns were quite distinctive yet were often undiagnosed on routine
evaluations.
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