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BMJ Case Rep. 2013 Jul 12;2013. pii: bcr2013010506. doi: 10.1136/bcr-2013-010506.

Reflex gelastic-dacrystic seizures following hypoxic-ischaemic encephalopathy.

Author information

1
Department of Neurology, King George Medical University, Lucknow, Uttar Pradesh, India. drrajeshverma32@yahoo.com

Abstract

Reflex or stimulus-sensitive epilepsies are uncommon epileptic syndromes triggered by exogenous-specific sensory stimulus or endogenous various mental activities. Gelastic-dacrystic seizures are rare epileptic manifestations characterised by ictal laughter and crying. Gelastic-dacrystic seizures are commonly caused by hypothalamic hamartoma but rarely described due to cortical dysplasia, lesions of frontal and temporal lobes, tumours and vascular malformations. We report a young woman who presented with somatosensory-evoked gelastic-dacrystic seizures. This patient had a positive history of perinatal insult substantiated by MRI findings. Hypoxic-ischaemic encephalopathy as the cause of gelastic-dacrystic seizures has not been reported so far in the literature.

PMID:
23853086
PMCID:
PMC3736504
DOI:
10.1136/bcr-2013-010506
[Indexed for MEDLINE]
Free PMC Article

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