Gelastic seizures in clusters in a case of West syndrome after perinatal hypothalamic hemorrhage
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Masao Kito
Abstract
We describe a 4-month-old Japanese infant with West syndrome with gelastic seizures in clusters. Smile developed around 3 months and gradually increased in frequency and intensity. Positron emission tomography showed hypoperfusion in bilateral hypothalamus. Interictal electroencephalogram (EEG) showed hypsarrythmia. Simultaneous video/EEG monitoring was performed. At first, a smile-like episode developed every several seconds, gradually increased to an abrupt flexion of the neck and extremities, and gradually decreased to a smile-like episode at the end. Ictal EEG revealed desynchronization. ACTH was effective. Smiles are common emotional responses in infancy. However, EEG and neuroimaging should be considered in a case of perinatal asphyxia and delayed development.
Copyright © 2001 by Walter de Gruyter GmbH & Co. KG
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Artikel in diesem Heft
- The first 40 years – a subjective review
- The effect of postnatal steroids on growth and development
- Mild maternal undernutrition in the first half of ovine pregnancy influences placental morphology but not fetal Doppler flow velocity waveforms and fetal heart size
- Longitudinal study of fatty acids in plasma and erythrocyte phospholipids during pregnancy
- Women’s perceptions and experiences of childbirth in United Arab Emirates
- A role for the 72 kDa gelatinase (MMP-2) and its inhibitor (TIMP-2) in human parturition, premature rupture of membranes and intraamniotic infection
- The value of ultrasonographic examination of the uterine cervix in predicting post-term pregnancy
- Maternal complications associated with cesarean section
- Patent ductus arteriosus in very low birthweight infants: complications of pharmacological and surgical treatment
- Bedside functional imaging of the premature infant brain during passive motor activation
- Effects of selective inhibition of the Endothelin A and B receptors on hypoxic pulmonary vasoconstriction in newborn piglets
- Surfactant lavage and replacement in meconium aspiration syndrome with pulmonary hemorrhage
- Gelastic seizures in clusters in a case of West syndrome after perinatal hypothalamic hemorrhage
- Fetal pulse oximetry is a safe method during high-risk delivery
- WAPM-Newsletter No 2
