Vertiginous epilepsy in the pediatric population.

Vertiginous epilepsy (VE) is a rare and underrecognized epilepsy subtype in the pediatric population. Vertiginous symptoms are the sole or predominant feature, arise from the vestibular cortex, and seizures are usually brief. The incidence is estimated to be between six and 15 percent of pediatric patients presenting with dizziness. Diagnosis is often delayed for many years following the onset of symptoms, as there are no widely accepted diagnostic criteria. Diagnostic work-up should include a detailed history, physical exam, EEG, and brain imaging with MRI. Vestibular testing is helpful if peripheral vestibulopathy is suspected. Vertiginous epilepsy can have many possible causes, but a large majority are idiopathic or suspected to be genetic. Most patients with vertiginous epilepsy achieve seizure freedom with anti-seizure medications.

Language regression, hemichorea and focal subclinical seizures in a 6-year-old girl with GLUT-1 deficiency.

•A 6 year old girl with progressive speech difficulties, new abnormal movements, olfactory hallucinations•Choreiform movement of her right hemibody along with her face and tongue•Seizures were noted during sleep without clinical correlate, progressing to awake subclinical seizures.