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A 52 year old woman with abnormal eye movements

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A 22 month old body with recurrent vomiting

Teaching NeuroImages Neurology Resident and Fellow Section

© 2017 American Academy of Neurology

(2)

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• A 22-month-old male presented with repetitive vomiting occasionally associated with behavioral arrest, right arm jerking, and rightward head deviation.

• MRI showed extensive left hemisphere polymicrogyria, most prominent in the left temporal lobe (Figure 1).

• These episodes were identified on video EEG (video 1)

© 2017 American Academy of Neurology Aungaroon, et al.

(3)

© 2017 American Academy of Neurology Aungaroon, et al.

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(4)

A 22 month old body with recurrent vomiting

: A Video Case

• Ictal vomiting is a rare seizure semiology, with a few distinctive features, reported in 2.7% of children with epilepsy (1,3).

• It can be seen in various epilepsy syndrome, particularly benign occipital epilepsies of childhood, to MRI-lesional localization-related epilepsy.

• It is a complex phenomenon hypothesized to involve the connectivity between insular cortex and vomiting center (2).

© 2017 American Academy of Neurology Aungaroon, et al.

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