EJMCR. 2017; 1(May 2017): 69-73

Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden

Authors: Ala Fadilah, Santosh R Mordekar.

ABSTRACT

Background: Abnormal ocular movements may also mimic epileptic seizures, such as in paroxysmal tonic upward gaze, blepharospasm, ocular tics, and paroxysmal eyelid movements (PEM). From a diagnostic, management and prognostic perspective it is important to undertake an accurate assessment of whether abnormal ocular movements are epileptic in origin or not. Case Presentation: We present a child from a tertiary paediatric epilepsy centre in the United Kingdom with PEM associated with photoparoxysmal responses, which was a source of diagnostic confusion. EEG recordings captured the PEM episodes to confirm the diagnosis. Conclusion: The presentation of children with epilepsy with ocular abnormal movements, particularly in the presence of photoparoxysmal responses, should raise suspicion of possible PEM. Confirmation is essential by capturing these events on EEG.

Keywords:
Epilepsy, myoclonia, non-epileptic, EEG, case report.


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Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden


Authors
Ala Fadilah
Department of Neurology, Sheffield Children’s NHS Foundation Trust, Sheffield, UK.
PubMed articlesGoogle scholar articles

Santosh R Mordekar
Department of Neurology, Sheffield Children’s NHS Foundation Trust, Sheffield, UK.
PubMed articlesGoogle scholar articles


Correspondence to:
Santosh R Mordekar. Santosh R Mordekar, Department of Neurology, Sheffield Children’s NHS Foundation Trust, Sheffield, UK.; santosh.mordekar@sch.nhs.uk

Publication history
Received 02 Mar 2017
Accepted 01 Apr 2017
Published online 10 Apr 2017

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Pubmed Style

Fadilah A, Mordekar SR. Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden. EJMCR. 2017; 1(May 2017): 69-73. doi:10.24911/ejmcr/1/17


Web Style

Fadilah A, Mordekar SR. Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden. http://www.ejmcr.com/?mno=260201 [Access: May 25, 2018]. doi:10.24911/ejmcr/1/17


AMA (American Medical Association) Style

Fadilah A, Mordekar SR. Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden. EJMCR. 2017; 1(May 2017): 69-73. doi:10.24911/ejmcr/1/17


Vancouver/ICMJE Style

Fadilah A, Mordekar SR. Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden. EJMCR. (2017), [cited May 25, 2018]; 1(May 2017): 69-73. doi:10.24911/ejmcr/1/17


Harvard Style

Fadilah, A. & Mordekar, S. R. (2017) Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden. EJMCR, 1 (May 2017), 69-73. doi:10.24911/ejmcr/1/17


Turabian Style

Fadilah, Ala, and Santosh R Mordekar. 2017. Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden. European Journal of Medical Case Reports, 1 (May 2017), 69-73. doi:10.24911/ejmcr/1/17


Chicago Style

Fadilah, Ala, and Santosh R Mordekar. "Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden." European Journal of Medical Case Reports 1 (2017), 69-73. doi:10.24911/ejmcr/1/17


MLA (The Modern Language Association) Style

Fadilah, Ala, and Santosh R Mordekar. "Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden." European Journal of Medical Case Reports 1.May 2017 (2017), 69-73. Print. doi:10.24911/ejmcr/1/17


APA (American Psychological Association) Style

Fadilah, A. & Mordekar, S. R. (2017) Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden. European Journal of Medical Case Reports, 1 (May 2017), 69-73. doi:10.24911/ejmcr/1/17


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