The New England Journal of Medicine
e-mail icon  FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |    Advanced Search
Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe
 
Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
PreviousPrevious
Volume 334:586-593 February 29, 1996 Number 9
NextNext

Case 7-1996— An eight-year-old boy with intractable seizures
G.L. Holmes, and M.P. Frosch

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

 Sign up for free e-toc
 

This Article
-Full Text
- PDF
-Purchase this article

Tools and Services
-Add to Personal Archive
-Add to Citation Manager
-Notify a Friend
-E-mail When Cited

More Information
-PubMed Citation
Presentation of Case

An eight-year-old, right-handed boy was admitted to the hospital because of intractable seizures.

The child sat at the age of 7 months, walked at 14 months, and talked meaningfully at 24 months. At the age of four years he began to have episodes of up to 30 seconds during which he held his hands over his ears, walked aimlessly, spoke nonsensically, and then fell asleep. Carbamazepine controlled the attacks initially. When he was seven years old valproate was substituted, without benefit.

Sixteen months before admission, treatment with phenytoin was begun, with a decrease in the frequency of the seizures. Thereafter, . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Gregory L. Holmes's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References




HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  TERMS OF USE  |  HELP  |  beta.nejm.org

Comments and questions? Please contact us.

The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved.