Image of the Week: Seizures and Spontaneous Laughter in a Child - Clinical Advisor

Image of the Week: Seizures and Spontaneous Laughter in a Child

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  • CA_092318_IOTW_Image

A 4-year-old girl is referred to a pediatric neurologist for evaluation of new-onset generalized tonic-clonic seizures. Her father mentions that she has also had sudden episodes of spontaneous, unexplained, loud laughter for the past year; these episodes now occur almost daily. Neurologic examination is unremarkable. Magnetic resonance imaging (MRI) reveals the findings seen here.

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