John Libbey Eurotext

Epileptic Disorders

The Educational Journal of the

Non-epileptic myoclonic attacks in infancy: three cases Volume 16, numéro 4, December 2014


  • Non-epileptic myoclonic attacks in infancy: three cases
  • Non-epileptic myoclonic attacks in infancy: three cases
  • Non-epileptic myoclonic attacks in infancy: three cases


  • Figure 1
  • Figure 2
  • Figure 3
1 Epilepsy Center, San Paolo Hospital, Milan, Italy
2 Department of Health Sciences, University of Milan, Italy
3 Unit of Child and Adolescent Neuropsychiatry, Spedali Civili, Brescia, Italy
4 Department of Clinical and Experimental Sciences, University of Brescia, Italy
5 School of Health and Developmental Science, University of Trieste and Brescia, Italy
* Correspondence: Aglaia Vignoli Epilepsy Center, San Paolo Hospital, DISS University of Milan, Via Di Rudinì 8, 20142 Milano, Italy
  • Mots-clés : non-epileptic attacks, infancy, head drop, video-EEG recording
  • DOI : 10.1684/epd.2014.0713
  • Page(s) : 433-8
  • Année de parution : 2014

Since the first cases of abnormal paroxystic movements in normal infants were described, the importance of accurate characterization of this medical condition has been increasingly confirmed in the literature. Non-epileptic attacks mimic epileptic paroxysms in clinical presentation, but they have a typically benign course and are unresponsive to pharmacological treatment. An evident feature of the syndrome is its extreme variability in clinical manifestation. Here, we describe three normal infants with two similar forms of non-epileptic paroxysms. Electroclinical manifestations and profile of evolution were investigated. Ictal video-EEG polygraphic recordings were obtained for each patient. The increasing number of such reported clinical cases in the literature may contribute to high quality systematic reviews and the development of useful guidelines in the future. The clinical heterogeneity of non-epileptic attacks, together with the relative rarity of the condition, may make differential diagnosis with epileptic attacks very challenging. [Published with video sequences]