Paroxysmal events in infants: persistent eye closure makes seizures unlikely

Christian M Korff1, Douglas R Nordli

  • 1Epilepsy Center, Children's Memorial Hospital, Chicago, IL 60614-3394, USA. ckorff@childrensmemorial.org

Pediatrics
|October 4, 2005
PubMed

Insights

Infants experiencing paroxysmal events often have their eyes open during seizures. Closed eyes during such events may indicate that the infant is not having a seizure, aiding in diagnosis.

Area of Science:

  • Pediatric Neurology
  • Clinical Neurophysiology

Background:

  • Infantile paroxysmal events are common but challenging to diagnose.
  • Clinical signs are crucial for accurate diagnosis and avoiding unnecessary investigations.

Purpose of the Study:

  • To determine the frequency of eye opening during infantile seizures.
  • To evaluate the utility of eye opening as a diagnostic marker for infantile seizures.

Main Methods:

  • Retrospective review of video electroencephalogram (EEG) recordings.
  • Analysis focused on eye opening status during recorded seizures in infants.

Main Results:

  • Ninety-one seizures in 69 infants were analyzed.
  • Eyes were observed to be open in 85 (93.4%) of the recorded infantile seizures.

Conclusions:

  • The presence of open eyes during paroxysmal events is highly characteristic of infantile seizures.
  • Infants with persistently closed eyes during such events are unlikely to be experiencing seizures.
Abstract

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