To the Editor.
—In their case report Mitchell et al1 stated that they could not find any documented case of simple partial seizure that produced vomiting as the sole symptom. We2 reported such a case in which a patient presented with vomiting as the sole manifestation of a majority of his seizures. However, unlike the patient of Mitchell et al,1 our patient was a 18-year-old boy who was born by cesarean section and was very weak at the time of birth. At the age of 5 years, he started having spells of unconsciousness, with frothing at the mouth but without convulsions, once every four to six months. He received antiepileptics for a few months and the attacks stopped.He remained well until the age of 11 years when he started having frequent attacks of vomiting. Occasionally (in one of ten to 12 attacks) after vomiting, he became
Shukla GD, Mishra DN. Vomiting as Sole Manifestation of Simple Partial Seizure. Arch Neurol. 1985;42(7):626. doi:10.1001/archneur.1985.04060070012004
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