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PubMed · 8548670

Startle epilepsy presenting as drop attacks: a case report.

Y Y Lin·M S Su·C H Yiu·S Y Kwan·Y F Tu·W Y Guo·T T Wong·K P Chang
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Abstract

A case of startle epilepsy, induced by an unexpected touch on the left shoulder of a 3.5 year old boy, was investigated. The startle epilepsy manifested as an atonic drop attack. Neurological examination revealed a mild hemiparesis on the left side. Computed tomography (CT) scanning demonstrated an enhancement over the right parieto-frontal region, suggesting a hemangioma. Interictal electroencephalography (EEG) showed diffuse slowing and asymmetry of background activities with lower amplitude over the right centro-parieto-temporal region. The ictal EEG showed a paroxysmal bilaterally synchronized high amplitude single spike followed by a few slow waves lasting about one second over the bilateral centro-parieto-temporal regions. The seizure resisted anticonvulsant therapy and no significant responses were observed despite the use of combined therapy with valproic acid, phenytoin, primidone and clonazepam.

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Child, PreschoolElectroencephalographyEpilepsyFunctional LateralityHumansMaleReflex, StartleTouchCase ReportsJournal Article

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Y Y Lin, M S Su, C H Yiu, S Y Kwan, Y F Tu, W Y Guo, T T Wong, K P Chang. 1995. Startle epilepsy presenting as drop attacks: a case report.. https://pubmed.ncbi.nlm.nih.gov/8548670/

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