Stroke code was activated and she was referred to another hospital, with normal neurological examination (pediatric NIHSS: 0) and vital signs on arrival. Her past medical history was otherwise unremarkable. Here, we present a remarkable JAE case with focal autonomic symptoms mimicking SeLEAS.Īn 11-year-old girl presented to the emergency department of our hospital in March 2022 due to an abrupt clinical picture which occurred while dining at home (without watching television or using electronic devices), witnessed by her mother, lasting approximately 1 min, consisting of impaired awareness, loss of facial expression, ascending epigastric sensation, and vomiting. Photosensitivity is present in 17.9% of patients with IGE not treated with anti-seizure drugs (ASDs) and focal symptoms (including autonomic) are found in 62.5% of patients with JAE. Juvenile absence epilepsy (JAE) is included in idiopathic generalized epilepsies (IGE), representing 15–20% of epilepsies. Panayiotopoulos syndrome belongs to self-limited childhood-onset focal epilepsies (SeLCOFE) and has recently been redefined as self-limited epilepsy with autonomic seizures (SeLEAS).
