Related Experiment Video
Updated: Aug 15, 2026

How to Obtain Reliable Visual Event-related Potentials in Newborns
Published on: October 24, 2019
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
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.
Objective:
Paroxysmal events are frequent in infancy. A precise diagnosis is often difficult to assign despite adequate history and physical examination. Certain clinical signs may help to suggest the diagnosis, thereby avoiding unnecessary and costly investigations. The aim of this study was to determine the frequency of eye opening during infantile seizures and evaluate the potential usefulness of this simple observation in the differential diagnosis of acute events in infants.
Methods:
We performed a retrospective video electroencephalogram review of the seizures recorded in infants at our Epilepsy Center, paying specific attention to eye opening.
Results:
Ninety-one seizures in 69 infants were included. Eyes were open in 85 (93.4%) cases.
Conclusions:
Infants whose eyes are closed throughout the paroxysmal event are most likely not having seizures.
Related Concept Videos
Seizures l: Introduction
Seizures: Classification
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Epilepsy ll: Types
Seizures ll: Types
Epilepsy and Seizures: Overview
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...

