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December 1982

Seizures Provoked by Dressing

Author Affiliations

Institute of Neurology University of Bologna Via Foscolo 7 40123 Bologna, Italy
EEG Laboratory Commune di Milano Milan, Italy

Arch Neurol. 1982;39(12):785-786. doi:10.1001/archneur.1982.00510240047016

To the Editor.—  We observed a singular case of reflex epilepsy.

Report of a Case.—  A child, now 12 years old, was born by cesarean section and suffered birth anoxia. Severe psychomotor retardation was evident from his first days of life. Tonic seizures appeared when he was 3 months old, while sucking, and again when he was 8 years old. When he was about 10 years old, they occurred once or twice a week, during both the night and the day. During the last year, daytime seizures have appeared only when his mother or other persons were dressing the patient. He could neither speak nor walk, had no sphincteral control, and understood only the simplest orders. Diffuse hypotonia, weakness, and hyperreflexia were associated with erratic myoclonia; a computed tomographic scan showed marked cerebral atrophy.On two different occasions, eight-hour polygraphic recordings were obtained under audiovisual control. The EEG showed symmetrical

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