Startle epilepsy presenting as drop attacks: A case report

Y. Y. Lin, M. S. Su, C. H. Yiu, S. Y. Kwan, Y. F. Tu, W. Y. Guo, Tai-Tong Wong, K. P. Chang

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A case of startle epilepsy, induced by an unexpected touch on the left shoulder of a 3.5 year old boy, was investigated. The startle epilepsy manifestated as an atonic drop attack. Neurological examination revealed a mild hemiparesis on the left side. Computed tomography (CT) scanning demonstrated an enhancement over the right parietofrontal region, suggesting a hemangioma. Interictal electroencephalography (EEG) showed diffuse slowing an asymmetry of background activities with lower amplitude over the right centro-parieto-temporal region. The ictal EEG showed a paroxysmal bilaterally synchronized high amplitude single spike followed by a few slow waves lasting about one second over the bilateral centro-parieto-temporal regions. The seizure resisted anticonvulsant therapy and no significant responses were observed despite the use of combined therapy with valproic acid, phenytoin, primidone and clonazepam.

Original languageEnglish
Pages (from-to)270-273
Number of pages4
JournalChinese Medical Journal (Taipei)
Volume56
Issue number4
Publication statusPublished - Jan 1 1995
Externally publishedYes

Fingerprint

Syncope
Temporal Lobe
Electroencephalography
Epilepsy
Primidone
Clonazepam
Neurologic Examination
Valproic Acid
Phenytoin
Paresis
Hemangioma
Anticonvulsants
Seizures
Stroke
Tomography
Therapeutics

Keywords

  • drop attack
  • startle epilepsy
  • tactile stimuli

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Lin, Y. Y., Su, M. S., Yiu, C. H., Kwan, S. Y., Tu, Y. F., Guo, W. Y., ... Chang, K. P. (1995). Startle epilepsy presenting as drop attacks: A case report. Chinese Medical Journal (Taipei), 56(4), 270-273.

Startle epilepsy presenting as drop attacks : A case report. / Lin, Y. Y.; Su, M. S.; Yiu, C. H.; Kwan, S. Y.; Tu, Y. F.; Guo, W. Y.; Wong, Tai-Tong; Chang, K. P.

In: Chinese Medical Journal (Taipei), Vol. 56, No. 4, 01.01.1995, p. 270-273.

Research output: Contribution to journalArticle

Lin, YY, Su, MS, Yiu, CH, Kwan, SY, Tu, YF, Guo, WY, Wong, T-T & Chang, KP 1995, 'Startle epilepsy presenting as drop attacks: A case report', Chinese Medical Journal (Taipei), vol. 56, no. 4, pp. 270-273.
Lin YY, Su MS, Yiu CH, Kwan SY, Tu YF, Guo WY et al. Startle epilepsy presenting as drop attacks: A case report. Chinese Medical Journal (Taipei). 1995 Jan 1;56(4):270-273.
Lin, Y. Y. ; Su, M. S. ; Yiu, C. H. ; Kwan, S. Y. ; Tu, Y. F. ; Guo, W. Y. ; Wong, Tai-Tong ; Chang, K. P. / Startle epilepsy presenting as drop attacks : A case report. In: Chinese Medical Journal (Taipei). 1995 ; Vol. 56, No. 4. pp. 270-273.
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