Document Detail

Gelastic fits in a two years old boy with a complex cerebral malformation.
MedLine Citation:
PMID:  12677544     Owner:  NLM     Status:  MEDLINE    
We report the case of a two years old boy showing gelastic fits as the leading clinical symptom of a rare complex cerebral malformation with closed-lip schizencephaly, an arachnoid cyst and a partial agenesis of the corpus callosum. After 5 uneventful interictal electroencephalograms the patient underwent 24 h EEG with telemetry while finally presenting two laughing fits with associated spike-wave discharges in the right-centroparietal region. Medical treatment with carbamacepine was initiated and the seizure frequency decreased significantly. This is the first cited case of gelastic fits occurring in schizencephaly. In contrast to previously cited cases with laughing fits we observed a good response to anticonvulsive treatment. Moreover our patient presented a surprisingly favourable psycho-mental and motor development during an 8 months observation period.
J Froelich; R Sassen; C E Elger; G Lehmkuhl
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Klinische Pädiatrie     Volume:  215     ISSN:  0300-8630     ISO Abbreviation:  Klin Padiatr     Publication Date:    2003 Mar-Apr
Date Detail:
Created Date:  2003-04-04     Completed Date:  2003-08-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0326144     Medline TA:  Klin Padiatr     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  65-8     Citation Subset:  IM    
Department of Child and Adolescent Psychiatry, University of Cologne, Germany.
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MeSH Terms
Anticonvulsants / administration & dosage
Arachnoid Cysts / complications,  congenital,  diagnosis
Brain / abnormalities*,  pathology
Carbamazepine / administration & dosage
Cerebral Ventricles / pathology
Child, Preschool
Choristoma / complications,  congenital,  diagnosis
Corpus Callosum / abnormalities,  pathology
Diagnosis, Differential
Dominance, Cerebral / physiology
Electroencephalography / drug effects
Epilepsies, Partial / diagnosis,  drug therapy,  etiology*,  physiopathology
Magnetic Resonance Imaging
Parietal Lobe / pathology,  physiopathology
Reg. No./Substance:
0/Anticonvulsants; 298-46-4/Carbamazepine

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