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Ictal vomiting as an initial symptom of severe myoclonic epilepsy in infancy: a case report
Naomi Hino-Fukuyo1, Kazuhiro Haginoya, Noriko Togashi
1Department of Pediatrics, Tohoku University School of Medicine, Aoba-ku, Sendai, Japan.
Abstract:
We report on 3-year-old Japanese twin brothers suffering from ictal vomiting during infancy. Intractable seizures, including generalized tonic-clonic convulsions, and myoclonic seizures persisted in late infancy. The diagnosis of severe myoclonic epilepsy in infancy was confirmed by detecting a mutation in the voltage-gated sodium channel alpha subunit type gene. This is the first case report addressing ictal vomiting as the initial presentation of severe myoclonic epilepsy in infancy.
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