Epileptic Vertiginous Seizure in a Japanese Boy: a Case Report.

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  • てんかん性めまい発作をきたした１男子例

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Dizziness in childhood is not an infrequent symptom, but epileptic vertigo is a rare condition in children. Here we report an 8-year-old Japanese boy with epileptic vertiginous seizures. At age 8 years, he visited Nippon Medical School Hospital because of a ten day history of dizziness. The dizziness occurred more than twenty times a day and he was hospitalized. On physical examination, the patient appeared normal andthere were no abnormal neurological findings, including eye movement and cerebellar signs. Ophthalmoscopy, otoscopy, vestibular function test and hearing test were normal. Computerized tomography scanning and MR imagingo f the head revealedn o significanta bnormality. The dizzinesso bservedo n admissionc omprised sudden brief attacks of rotatory sensation without amnesia regarding the event. Sometimes the attacks were accompanied by tremor like movement and numbness of the right hand, followed by postictal unsteadiness. Interictal EEG revealed spike-and- wave complexes in the central region dominantly in the light sleep stage. On ictal EEG, seizure discharges were observed to begin in the left central region and they increased in amplitude and subsequently propagated to the frontal and occipital regions.<BR>These findings were most suggestive of partial seizures. The patient was treated with carbamazepine and the seizures became well under control

Journal

  • NO TO HATATSU

    NO TO HATATSU 28 (6), 515-519, 1996

    THE JAPANESE SOCIETY OF CHILD NEUROLOGY

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