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Dev Med Child Neurol. 1990 Jan;32(1):74-8.

Autonomic seizures in an infant: unusual cutaneous and cardiac manifestations.

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Department of Paediatrics, Carmel Hospital, Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel.


An eight-month-old infant developed autonomic seizures, manifested by skin reaction (harlequin-like syndrome) and paroxysmal bradycardia. Interictal EEG showed multifocal spikes, 24-hour EEG/ECG monitoring disclosed episodes of cerebral decremental response associated with cardiac nodal rhythm. Head CT and other laboratory tests were normal. Despite excellent seizure control with carbamazepine, the child has moderate psychomotor retardation.

[Indexed for MEDLINE]

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