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Benign focal epilepsy with onset in infancy in a patient with 18q-syndrome
Alberto Verrotti1, Daniela Trotta, Carmela Salladini
1Section of Pediatrics, Department of Medicine, University of Chieti, Ospedale Policlinico, Via dei Vestini 5, 66100 Chieti, Italy. averrott@obelix.unich.it
Insights
This case report details a child with 18q-syndrome experiencing benign focal epilepsy in infancy. This rare epilepsy type, characterized by frequent seizures, is now linked to 18q-syndrome.
Area of Science:
- Genetics
- Neurology
- Pediatrics
Background:
- 18q-syndrome is a chromosomal disorder associated with various health issues.
- Epilepsy is a known, though infrequent, complication of 18q-syndrome.
- Benign focal epilepsy with onset in infancy is a rare epilepsy syndrome.
Observation:
- A child with 18q-syndrome presented with typical syndrome manifestations.
- The child experienced frequent complex partial seizures (1-20 daily).
- Electroencephalograms (EEGs) showed left fronto-central low-voltage spikes during sleep.
Findings:
- This is the first reported case of benign focal epilepsy with onset in infancy in a child with 18q-syndrome.
- Brain magnetic resonance imaging (MRI) results were normal.
- The epilepsy presented as frequent complex partial seizures.
Implications:
- Benign focal epilepsy with onset in infancy may be an associated condition of 18q-syndrome.
- This finding expands the understanding of neurological manifestations in 18q-syndrome.
- Highlights the importance of considering specific epilepsy syndromes in children with 18q-syndrome.
Case Report:
The 18q-syndrome is sometimes associated with epilepsy. We report a child with a 18q deletion who showed the typical manifestations of the syndrome. In addition, she had benign focal epilepsy with onset in infancy characterized by complex partial seizures with a frequency from 1 to 20 per day. This type of epilepsy is a rare condition and this is the first report of benign focal epilepsy with onset in infancy in a child with 18q-syndrome. The EEGs performed during sleep showed low-voltage spikes over the fronto-central region of the left hemisphere. The magnetic resonance imaging of the brain was normal.
Conclusion:
In conclusion, benign focal epilepsy with onset in infancy could be a condition associated with 18q-syndrome.
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