Abstract
A blinded comparison of parental and clinical observations of the behavior of 26 autistic children (23 boys and 3 girls) younger than age 48 months is reported from the Vanderbilt University School of Medicine, Nashville, TN, and The Children’s Mercy Hospital, Kansas City.
Highlights
A fatal hepatic failure in a 3 year-old girl with myoclonic epilepsy after 3 months of treatment with valproate (VPA) is reported from Hopital d'Enfants, Marseilles, and Hopital des Enfants-Malades, Paris, France
Vomiting as an ictal phenomenon is controversial and difficult to distinguish from migraine. In these patients with previous evidence of occipital epileptiform EEG discharges, visual symptoms followed by automatisms and vomiting appeared more likely to result from temporal lobe ictal involvement than a migraine secondary to an occipital seizure
The lateralization of the ictal discharge to the right hemisphere has previously been reported in 13 children with the diagnosis of ictus emeticus. (Kramer RE et al, 1988)
Summary
A fatal hepatic failure in a 3 year-old girl with myoclonic epilepsy after 3 months of treatment with valproate (VPA) is reported from Hopital d'Enfants, Marseilles, and Hopital des Enfants-Malades, Paris, France. In these patients with previous evidence of occipital epileptiform EEG discharges, visual symptoms followed by automatisms and vomiting appeared more likely to result from temporal lobe ictal involvement than a migraine secondary to an occipital seizure. The lateralization of the ictal discharge to the right hemisphere has previously been reported in 13 children with the diagnosis of ictus emeticus.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
