A Girl Who is Smiling for no Reason: Gelastic Seizure- A Case Report

Authors

  • Subodh Sharma Paudel Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu,Nepal
  • Nikhil Agrawal Nepalese Army Institute of Health Sciences, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/jnps.v39i3.28673

Keywords:

Functional brain imaging, Gelastic Epilepsy, Hypothalamic Hamartoma, Smiling attitude, Video-EEG

Abstract

Being a rare disorder, Gelastic seizure primarily presents as episodes of sudden occurrence of emotions usually associated with laugh or giggle due to facial contractions. A child presented with abnormal body movement in the form of smiling and uprolling of eyes, which was clinically diagnosed as gelastic seizure, a rare form of a very common presentation, epilepsy. The case is presented to highlight abnormal posturing and smiling episodes in a child can be a form of seizure episode, which generally presents with a diagnostic dilemma and therapeutic nightmare to the clinician.

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Published

2019-12-31

How to Cite

Paudel, S. S., & Agrawal, N. (2019). A Girl Who is Smiling for no Reason: Gelastic Seizure- A Case Report. Journal of Nepal Paediatric Society, 39(3), 181–184. https://doi.org/10.3126/jnps.v39i3.28673

Issue

Section

Case Reports