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[Dysphagia, speech disorders and centrotemporal spikes-waves].
J Boulloche1, A Husson, B Le Luyer
1Unité Neurologie Pédiatrique, Groupe Hospitalier du Havre, Le Havre.
Archives Francaises De Pediatrie
|February 1, 1990
Summary
This study describes a rare case of benign partial epilepsy in a child, characterized by oropharyngeal seizures. Effective treatment with anticonvulsant drugs highlights a treatable neurological condition.
Area of Science:
- Neurology
- Pediatric Neurology
- Epileptology
Background:
- Oropharyngeal seizures are rare neurological events.
- Differential diagnosis often includes laryngeal or gastrointestinal disorders.
- Benign partial epilepsy with centrotemporal spikes is a common childhood epilepsy syndrome.
Observation:
- A 5-year-old patient presented with recurrent oropharyngeal fits including sialorrhea and speech arrest.
- Electroencephalography revealed bilateral centrotemporal spikes associated with facial contractions, anarthria, and sialorrhea.
- Seizures were transient and led to temporary pseudo-bulbar palsy (anterior opercular syndrome).
Findings:
- The patient's condition was diagnosed as an unusual presentation of benign partial epilepsy with centrotemporal spikes.
- Investigations, including CT, MRI, and CSF studies, were normal.
- Seizures resolved rapidly with standard anticonvulsant medications like Valproate and Carbamazepine.
Implications:
- This case highlights an atypical manifestation of a common epilepsy syndrome in children.
- Early diagnosis and appropriate treatment can lead to complete seizure remission.
- Understanding these rare presentations is crucial for accurate diagnosis and management of pediatric epilepsy.