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Related Experiment Videos

Self induced photosensitive epilepsy.

Pratibha D Singhi1, Deepak Bansal

  • 1Advanced Pediatric Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India. psinghi@glide.net.in

Indian Journal of Pediatrics
|July 29, 2004
PubMed
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This case study describes a 12-year-old girl with self-induced photosensitive epilepsy, triggered by eye-rubbing and forehead-stroking. Treatment with Sodium valproate proved effective in managing her rare condition.

Area of Science:

  • Neurology
  • Pediatric Neurology
  • Epileptology

Background:

  • Photosensitive epilepsy is a neurological disorder characterized by seizures triggered by visual stimuli.
  • Self-induced seizures, while rare, can occur in individuals with epilepsy.
  • Understanding the specific triggers and behaviors associated with self-induction is crucial for effective management.

Observation:

  • A 12-year-old girl presented with a history of self-induced seizures starting at age 8.
  • Her seizures involved specific hand movements over the right eye and forehead rubbing, leading to a trance-like state.
  • Episodes progressed to brief periods of unconsciousness.

Findings:

  • Electroencephalogram (EEG) testing, after multiple attempts, confirmed bilateral, symmetric spike-and-wave discharges during photic stimulation.

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  • The patient admitted to intentionally inducing these episodes for pleasure.
  • Sodium valproate was initiated and demonstrated a positive therapeutic response.

    • Implications:

    • This case highlights the importance of considering self-induction in pediatric epilepsy, even with unusual behaviors.
    • Thorough patient history and targeted EEG investigations are vital for diagnosing rare epilepsy presentations.
    • Successful management with Sodium valproate suggests its efficacy in this specific subtype of photosensitive epilepsy.