Question

My 5-year-old daughter occasionally stops moving and rolls her eyes upwards when walking or playing. She stares blankly for about 2 to 7 seconds, and this happens about 20 times a day. After the episode, when I ask her what she was doing, she says she doesn’t know. She has no fever, dizziness, or other discomfort, and there are no obvious triggers. There is no history of epilepsy in our family. I would like to know which hospital is better for treating pediatric epilepsy?

Answer

In considering the self-limiting form of epilepsy such as eyelid myoclonia with absences, also known as Jeavons syndrome, clinical manifestations include recurrent, brief, and rapid episodes of eyelid myoclonic contractions without clear loss of consciousness or only mild cognitive impairment (accompanied by absence seizures). The electroencephalogram (EEG) will show widespread high-amplitude 3 to 5 Hz sharp waves or polyspike and slow wave activity distribution, with a brief duration (1 to 5 seconds), often triggered by characteristic blinking movements. Therefore, an EEG with flicker stimulation is necessary to record synchronous EEG changes in order to diagnose the type of epilepsy. The local EEG may not be comprehensive enough.