A 13-year-old girl with a past medical history of attention deficit hyperactivity disorder and auditory processing impairment, suffering from refractory seizures. Clinical history She had a mild cognitive delay, necessitating enrollment in special education classes. She began having absence seizures around the age of 8 years. Her seizure progressed subsequently to generalized tonic-clonic seizures, resulting in decrease level of verbal communication. She had no unremarkable family history.
She presented for mapping of her seizure activity and subsequent lobectomy. Her long-term electroencephalogram (EEG) monitoring showed multiple patient events associated with rocking movements, but no time length correlation with associated behavioral events. There were multiple bursts of 8 to 10 Hz activity followed by 2 to 3 Hz activity and some secondary generalization. Neuropathologic…
