Case Report
Volume: 1 | Issue: 2 | Published: Jun 25, 2017 | Pages: 69 - 73 | DOI: 10.24911/ejmcr/1/17
Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden
Authors: Ala Fadilah , Santosh R Mordekar
Article Info
Authors
Ala Fadilah
Department of Neurology, Sheffield Children’s NHS Foundation Trust, Sheffield, United Kingdom.
Santosh R Mordekar
Department of Neurology, Sheffield Children’s NHS Foundation Trust, Sheffield, United Kingdom.
Publication History
Received: March 02, 2017
Accepted: April 01, 2017
Published: June 25, 2017
Abstract
Background: Abnormal ocular movements may also mimic epileptic seizures, such as in paroxysmal tonic upward gaze, blepharospasm, ocular tics, and paroxysmal eyelid movements (PEM). From a diagnostic, management and prognostic perspective it is important to undertake an accurate assessment of whether abnormal ocular movements are epileptic in origin or not. Case Presentation: We present a child from a tertiary paediatric epilepsy centre in the United Kingdom with PEM associated with photoparoxysmal responses, which was a source of diagnostic confusion. EEG recordings captured the PEM episodes to confirm the diagnosis. Conclusion: The presentation of children with epilepsy with ocular abnormal movements, particularly in the presence of photoparoxysmal responses, should raise suspicion of possible PEM. Confirmation is essential by capturing these events on EEG.
Keywords: Epilepsy, myoclonia, non-epileptic, EEG, case report, green
Pubmed Style
Ala Fadilah, Santosh R Mordekar. Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden. EJMCR. 2017; 25 (June 2017): 69-73. doi:10.24911/ejmcr/1/17
Web Style
Ala Fadilah, Santosh R Mordekar. Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden. https://www.ejmcr.com/index.php/articles/1530 [Access: July 07, 2025]. doi:10.24911/ejmcr/1/17
AMA (American Medical Association) Style
Ala Fadilah, Santosh R Mordekar. Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden. EJMCR. 2017; 25 (June 2017): 69-73. doi:10.24911/ejmcr/1/17
Vancouver/ICMJE Style
Ala Fadilah, Santosh R Mordekar. Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden. EJMCR. (2017), [cited July 07, 2025]; 25 (June 2017): 69-73. doi:10.24911/ejmcr/1/17
Harvard Style
Ala Fadilah, Santosh R Mordekar (2017) Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden. EJMCR, 25 (June 2017): 69-73. doi:10.24911/ejmcr/1/17
Chicago Style
Ala Fadilah, Santosh R Mordekar. "Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden." 25 (2017), 69-73. doi:10.24911/ejmcr/1/17
MLA (The Modern Language Association) Style
Ala Fadilah, Santosh R Mordekar. "Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden." 25.June 2017 (2017), 69-73. Print. doi:10.24911/ejmcr/1/17
APA (American Psychological Association) Style
Ala Fadilah, Santosh R Mordekar (2017) Non-epileptic paroxysmal eyelid movements associated with generalized epilepsies: a challenge in assessing seizure burden. , 25 (June 2017), 69-73. doi:10.24911/ejmcr/1/17