A Case of Atypical Benign Partial Epilepsy of Childhood Cured by ?Steroid

J Korean Neurol Assoc > Volume 13(4); 1995 > Article

Journal of the Korean Neurological Association 1995;13(4): 1031-1037.

스테로이드로 치유된 비정형 양성 소아 부분간질 1례

김옥준, 김윤중, 허 균

연세대학교 신경과, 아주대학교 신경과

A Case of Atypical Benign Partial Epilepsy of Childhood Cured by ?Steroid

Ok Joon Kim, M.D., Yun Joong Kim, M.D., Kyoon Huh, M.D.

Department of Neurology, College of Medicine, Yonsei University and Ajou University

Abstract

Benign partial epilepsy of childhood is the most common type of epilepsy in school-aged children and is typically well controlled with antiepileptic drug, thus having an excellent prognosis. Recently, we have encountered one case of atypical benign partial epilepsy of childhood with the following atypical clinical and EEG features : predominant atypical absence seizure in addition to partial motor seizure, unusual awake EEG tracings of focal sharp waves in the frontocentrotemporal location, while the sleep tracings showed nearly continuous slow spike and wave activity. The administration of various antiepileptic drugs adversely provoked a drowsy mental state without seizure control. The patient dramatically improved after steroid therapy.