All issues > Volume 44(2); 2001

Case Report

J Korean Pediatr Soc. 2001;44(2):211-215. Published online February 15, 2001.

A Case of Atypical Benign Partial Childhood Epilepsy

Hae Jung HJ Park¹, In Joon IJ Seol¹

¹Department of Pediatrics, College of Medicine, Hanyang University Hospital, Seoul, Korea

Abstract

We report a case of atypical benign partial childhood epilepsy in a 11 years old male child whose case has been followed up for 6 years. His first symptom was focal seizure of the left side of his face during a drowsy state, followed by focal seizures of left fingers and legs. At that time he had been on phenobarbital for a year without any response clinically and electroencephalographically, so he was transferred to our hospital. The EEG, which was taken at his first visit, showed continuous generalized spike-wave pattern with high amplitude through the whole record during waking, drowsy and sleeping states. The clinical and EEG findings showed no improvement for the first 2 years even though he was on combination therapy with some drugs such as carbamazepine, valproate and vigabatrin. However, he began to show some improvement after 3 years(at 8 years of age) and no seizure has been observed for the last 2 years. Also an EEG, taken 6 years after onset, showed marked improvement.

Keywords :Atypical benign partial epilepsy