Abstract

Many symptoms in children, occurring in paroxysms, may be shown by electroencephalography to represent epileptic equivalents, and may respond favorably to anticonvulsant therapy. These symptoms include headache, abdominal pain, leg aches, nausea or cyclic vomiting, fever and night terrors. A syndrome has been described which is due to cerebral dysrhythmia but lacks a truly paroxysmal character—a condition resembling neurasthenia, with superimposed attacks of headache, fever, or pain in the abdomen or extremities. Diagnosis of all these conditions requires a high degree of suspicion balanced by cautious skepticism. The diagnosis can be confirmed electroencephalographically and by the response to anticonvulsant therapy. Warning is given against overzealous interpretation of minor electroencephalogram irregularities, and against overoptimistic appraisal of the results of therapeutic trials. Given such a cautious attitude, the physician may find the electroencephalogram a useful tool in the study of children with various paroxysmal complaints or personality disorders.

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