Masks of self-limited focal epilepsy of childhood (clinical observation)
DOI:
https://doi.org/10.15574/SP.2025.5(149).156157Keywords:
children, vomiting, self-limited focal epilepsies, diagnosticsAbstract
Diagnosis of self-limited focal epilepsies is difficult due to the no specificity of symptoms. The diagnostic search strategy can be supplemented with video recording of unusual behavioural patterns/seizures, as well as a full-fledged night EEG with video recording.
Aim - to reveal the complexity of early diagnosis and variability of the clinical picture of self-limited focal epilepsy of childhood.
Clinical case. The history of the disease of a 5-year-old boy is presented, who was observed for complaints of periodic vomiting at night (1-3 times per night), that was not accompanied by awakening. The dynamics of clinical manifestations and results of additional examination were analyzed.
Conclusion. Reccurent vomiting in children requires broad differential diagnosis, which should include gastrointestinal pathology, structural brain abnormalities or tumors, cyclic vomiting syndrome, and self-limited childhood epilepsies. To confirm the latter diagnosis, an overnight EEG with video monitoring of seizures is necessary.
References
ILAE. (2017). ILAE Classification and Definition of Epilepsy Syndromes with Onset in Childhood. URL: https://www.ilae.org/files/dmfile/CHILDApril6withfigs.pdf.
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McCafferty B, McClelland CM, Lee MS. (2017, Jan-Mar). The diagnostic challenge of evaluating papilledema in the pediatric patient. Taiwan J Ophthalmol. 7(1): 15-21. https://doi.org/10.4103/tjo.tjo_17_17; PMid:29018749 PMCid:PMC5525598
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