6. Continuous spike-waves of slow-wave sleep in 20 year old woman with epilepsy and autism

A 20 yo RH woman, followed for 16 years by the same neurologist (PAH), had seizure onset at 1.5 years: afebrile CPSz secondarily generalised with automatisms, duration 5 min, recurrent every 2–4 weeks. Initial treatment consisted of PHT 5 mg/kg/day, then CBZ 30 mg/kg + VPA 18 mg/kg/day with improvement. PMHx: SGA 2.7 kg at birth, 7–8 h labour, "R. leg bent" at birth, in India. FHx negative Szs. Initial development "normal": walked 12 months, words at 18 months (Gujerati), ESL at 4 years (JK, Can.).

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