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Lupus
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Reflex Seizures as Initial Manifestations of Systemic Lupus Erythematosus in Childhood

Mario Brinciotti

Dipartimento di Scienze Neurologiche e Psichiatriche dell'Età Evolutiva

Giovanna Ferrucci

Dipartimento di Scienze Neurologiche e Psichiatriche dell'Età Evolutiva

Giovanni Trasatti

Dipartimento di Scienze Neurologiche e Psichiatriche dell'Età Evolutiva

Roberta Priori

Clinica Medica I, Università 'La Sapienza', Roma, Italy

Elisabetta Squilloni

Clinica Medica I, Università 'La Sapienza', Roma, Italy

Guido Valesini

Clinica Medica I, Università 'La Sapienza', Roma, Italy

We report a 10-year-old girl with reflex seizures characterized by visual and acoustic hallucinations, induced by visual and acoustic stimulations. The EEG showed atypical spike-wave discharges on the left temporo-occipital area, markedly activated by visual and acoustic stimuli (intermittent light, pattern-reversal stimulation and monoaural right pure tone). The patient was treated with carbamazepine and seizure stopped within 7 months. After 10 months from the start of the therapy she developed signs of systemic lupus erythematosus.

Key Words: Lupus • Reflex seizure • Hallucinations • Carbamazepine • Childhood

Lupus, Vol. 2, No. 1 suppl, 281-283 (1993)
DOI: 10.1177/096120339300200118
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