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A Case of Atypical Benign Partial Childhood Epilepsy

Journal of the Korean Pediatric Society 2001;44(2):211-215.
Published online February 15, 2001.
A Case of Atypical Benign Partial Childhood Epilepsy
Hae Jung Park, In Joon Seol
Department of Pediatrics, College of Medicine, Hanyang University Hospital, Seoul, Korea
소아기의 비전형적 양성 부분간질 1례
박해정, 설인준
한양대학교 의과대학 소아과학교실
Abstract
We report a case of atypical benign partial childhood epilepsy in a 11 years old male child whose case has been followed up for 6 years. His first symptom was focal seizure of the left side of his face during a drowsy state, followed by focal seizures of left fingers and legs. At that time he had been on phenobarbital for a year without any response clinically and electroencephalographically, so he was transferred to our hospital. The EEG, which was taken at his first visit, showed continuous generalized spike-wave pattern with high amplitude through the whole record during waking, drowsy and sleeping states. The clinical and EEG findings showed no improvement for the first 2 years even though he was on combination therapy with some drugs such as carbamazepine, valproate and vigabatrin. However, he began to show some improvement after 3 years(at 8 years of age) and no seizure has been observed for the last 2 years. Also an EEG, taken 6 years after onset, showed marked improvement.
Key Words: Atypical benign partial epilepsy


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