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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 manifested 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 parieto-frontal region, suggesting a hemangioma. Interictal electroencephalography (EEG) showed diffuse slowing and 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.
Y Y Lin, and
M S Su, and
C H Yiu, and
S Y Kwan, and
Y F Tu, and
W Y Guo, and
T T Wong, and
K P Chang
December 2009,
Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia,
Y Y Lin, and
M S Su, and
C H Yiu, and
S Y Kwan, and
Y F Tu, and
W Y Guo, and
T T Wong, and
K P Chang
May 1991,
Indian journal of medical sciences,
Y Y Lin, and
M S Su, and
C H Yiu, and
S Y Kwan, and
Y F Tu, and
W Y Guo, and
T T Wong, and
K P Chang
April 2023,
Journal of medical case reports,
Y Y Lin, and
M S Su, and
C H Yiu, and
S Y Kwan, and
Y F Tu, and
W Y Guo, and
T T Wong, and
K P Chang
June 1979,
Neurology,
Y Y Lin, and
M S Su, and
C H Yiu, and
S Y Kwan, and
Y F Tu, and
W Y Guo, and
T T Wong, and
K P Chang
July 2023,
Indian journal of pathology & microbiology,
Y Y Lin, and
M S Su, and
C H Yiu, and
S Y Kwan, and
Y F Tu, and
W Y Guo, and
T T Wong, and
K P Chang
July 1995,
The Journal of family practice,
Y Y Lin, and
M S Su, and
C H Yiu, and
S Y Kwan, and
Y F Tu, and
W Y Guo, and
T T Wong, and
K P Chang
February 2022,
Clinical case reports,
Y Y Lin, and
M S Su, and
C H Yiu, and
S Y Kwan, and
Y F Tu, and
W Y Guo, and
T T Wong, and
K P Chang
May 1981,
British medical journal (Clinical research ed.),
Y Y Lin, and
M S Su, and
C H Yiu, and
S Y Kwan, and
Y F Tu, and
W Y Guo, and
T T Wong, and
K P Chang
December 1985,
Journal of neurosurgery,
Y Y Lin, and
M S Su, and
C H Yiu, and
S Y Kwan, and
Y F Tu, and
W Y Guo, and
T T Wong, and
K P Chang
July 2023,
Heliyon,
