Rare seizure presentation in 3-year-old male: Case of focal epilepsy associated with squatting and running

We report the case of a 3-year-old male initially observed to have breath-holding spells, squatting, and spontaneous crying who later developed symptoms of atypical seizures suggestive of focal epilepsy. Electroencephalogram confirmed focal seizures, while MRI revealed periventricular leukomalacia....

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Main Authors: Zayan Musa, Abhijnya Gowder, Herlinda Bergman, Roopa Viraraghavan
Format: Article
Language:English
Published: SAGE Publishing 2025-07-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X251364080
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author Zayan Musa
Abhijnya Gowder
Herlinda Bergman
Roopa Viraraghavan
author_facet Zayan Musa
Abhijnya Gowder
Herlinda Bergman
Roopa Viraraghavan
author_sort Zayan Musa
collection DOAJ
description We report the case of a 3-year-old male initially observed to have breath-holding spells, squatting, and spontaneous crying who later developed symptoms of atypical seizures suggestive of focal epilepsy. Electroencephalogram confirmed focal seizures, while MRI revealed periventricular leukomalacia. Antiepileptic drugs were imperative to resolving the seizure symptoms, although complications arose with certain side effects. This case highlights the importance of identifying different characteristic seizure presentations and distinguishing breath-holding spells from atypical seizures through a timely electroencephalogram and neuroimaging to make an accurate diagnosis. In addition, we discuss the intricacy of diagnosing atypical seizures and the different ways in which they can present. Help the reader direct their attention to a valuable case report about childhood epilepsy and the uncommon symptoms associated. Highlighting the importance of identifying different characteristic seizure presentations and distinguishing breath-holding spells from atypical seizures through timely electroencephalogram and neuroimaging to make an accurate diagnosis.
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institution Kabale University
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publishDate 2025-07-01
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series SAGE Open Medical Case Reports
spelling doaj-art-4f34ba29dcaa4c458a93269f46e38a2b2025-08-20T03:56:14ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2025-07-011310.1177/2050313X251364080Rare seizure presentation in 3-year-old male: Case of focal epilepsy associated with squatting and runningZayan Musa0Abhijnya Gowder1Herlinda Bergman2Roopa Viraraghavan3Department of Medicine, University of California, Riverside, CA, USADepartment of Medicine, University of California, Riverside, CA, USADepartment of Medicine, University of California, Riverside, CA, USADepartment of Medicine, University of California, Riverside, CA, USAWe report the case of a 3-year-old male initially observed to have breath-holding spells, squatting, and spontaneous crying who later developed symptoms of atypical seizures suggestive of focal epilepsy. Electroencephalogram confirmed focal seizures, while MRI revealed periventricular leukomalacia. Antiepileptic drugs were imperative to resolving the seizure symptoms, although complications arose with certain side effects. This case highlights the importance of identifying different characteristic seizure presentations and distinguishing breath-holding spells from atypical seizures through a timely electroencephalogram and neuroimaging to make an accurate diagnosis. In addition, we discuss the intricacy of diagnosing atypical seizures and the different ways in which they can present. Help the reader direct their attention to a valuable case report about childhood epilepsy and the uncommon symptoms associated. Highlighting the importance of identifying different characteristic seizure presentations and distinguishing breath-holding spells from atypical seizures through timely electroencephalogram and neuroimaging to make an accurate diagnosis.https://doi.org/10.1177/2050313X251364080
spellingShingle Zayan Musa
Abhijnya Gowder
Herlinda Bergman
Roopa Viraraghavan
Rare seizure presentation in 3-year-old male: Case of focal epilepsy associated with squatting and running
SAGE Open Medical Case Reports
title Rare seizure presentation in 3-year-old male: Case of focal epilepsy associated with squatting and running
title_full Rare seizure presentation in 3-year-old male: Case of focal epilepsy associated with squatting and running
title_fullStr Rare seizure presentation in 3-year-old male: Case of focal epilepsy associated with squatting and running
title_full_unstemmed Rare seizure presentation in 3-year-old male: Case of focal epilepsy associated with squatting and running
title_short Rare seizure presentation in 3-year-old male: Case of focal epilepsy associated with squatting and running
title_sort rare seizure presentation in 3 year old male case of focal epilepsy associated with squatting and running
url https://doi.org/10.1177/2050313X251364080
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