000 01940cam a2200253 4500500
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041 _afre
042 _adc
100 1 0 _aNagy, Eszter
_eauthor
700 1 0 _a Hollody, Katalin
_eauthor
245 0 0 _aParoxysmal non-epileptic events in infancy: five cases with typical features
260 _c2019.
500 _a58
520 _aThe differential diagnosis of paroxysmal non-epileptic events in early childhood is one of the most challenging tasks in paediatrics, and may be difficult even for specialized child neurologists. Parents are usually concerned by every unusual movement of their children and consult paediatric general practitioners immediately. We investigated five infants/toddlers (aged 1-30 months) referred by their general practitioners with a suspicion of epilepsy. None of them were ultimately shown to have epilepsy. Our aim was to determine the main reasons for referral and describe, through images and video, the typical features of five non-epileptic paroxysmal events (benign neonatal sleep myoclonus, jitteriness, shuddering attack, paroxysmal tonic upgaze, and infantile masturbation). The review of these events reveals the significance of the circumstances within the history of the patients. A detailed history is of considerable help in the differentiation of epileptic paroxysmal events from non-epileptic events, avoiding unnecessary investigations. Video-EEG examination is necessary only in cases when epilepsy is strongly suspected. [ Published with video sequences].
690 _ajitteriness
690 _agratification
690 _abenign neonatal sleep myoclonus
690 _ashuddering
690 _anon-epileptic paroxysmal events
690 _aupgaze
690 _ainfant
786 0 _nEpileptic Disorders | Vol 21 | 5 | 2019-05-01 | p. 458-462 | 1294-9361
856 4 1 _uhttps://shs.cairn.info/revue-epileptic-disorders-2019-5-page-458?lang=en
999 _c246657
_d246657