Case 7-1996

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Abstract
Presentation of CaseAn 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 . . .