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Brain and Development
Volume 29, Issue 3, April 2007, Pages 185-188
 
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doi:10.1016/j.braindev.2006.08.007    How to Cite or Link Using DOI (Opens New Window)
Copyright © 2006 Elsevier B.V. All rights reserved.

Case report

Spontaneous resolution of intractable epileptic seizures following HHV-7 infection

Hitoshi YamamotoCorresponding Author Contact Information, a, E-mail The Corresponding Author, Noriko Kamiyamaa, Hiroshi Murakamia, Yusaku Miyamotoa and Miho Fukudaa

aDepartment of Pediatrics, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae, Kawasaki 216-8511, Japan

Received 24 April 2006; 
revised 13 August 2006; 
accepted 16 August 2006. 
Available online 26 September 2006.

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Abstract

Purpose: We report a three-year-old female with intractable epilepsy post West syndrome whose seizures disappeared following an acute viral infection, without changes in anti-epileptic therapy. Methods: The female infant was born at term to a healthy mother after an uneventful pregnancy and delivery. At the age of five months, she developed intractable brief tonic spasms which had a series of infantile spasms, and an electroencephalogram indicated hypsarrhythmia. She was diagnosed with West syndrome. The seizures were uncontrollable with conventional therapy, including ACTH, vigabatrin, sodium valproate, clonazepam, zonisamide, and ketogenic diet. Daily multiple generalized tonic seizures and brief tonic spasms were observed before an episode of viral infection. Results: At the age of three years, the intractable seizures disappeared after a febrile rash illness due to human herpesvirus 7 (HHV-7) infection, without changes in anti-epileptic drugs. Conclusions: The disappearance of intractable epileptic seizures following acute viral infections might be related to the inflammatory or immunologic processes associated with viral infections. This is the first documented case of spontaneous remission of intractable epileptic seizures following HHV-7 infection.

Keywords: Spontaneous resolution; Intractable epileptic seizures; HHV-7 infection

Article Outline

1. Introduction
2. Case report
3. Discussion
References




Brain and Development
Volume 29, Issue 3, April 2007, Pages 185-188
 
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