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Panayiotopoulos syndrome (PS) is a syndrome of childhood susceptibility to benign autonomic seizures and affects approximately 6% of children with nonfebrile seizures.1–4 The clinical features are infrequent, often single, focal seizures comprising autonomic symptoms; behavioral changes; and other ictal clinical manifestations. Half of the seizures progress to become generalized; two thirds occur during sleep. The seizures can last 5 to 15 minutes, but some are prolonged, lasting hours, constituting autonomic status epilepticus (ASE).5 Even after severe seizures, the patient recovers within a few hours. Prognosis is excellent. Remission usually occurs within 1 to 2 years from onset. EEG is characterized by multifocal spikes that predominate in the posterior regions.4,6 Ictal EEG shows frontal or posterior onset.4,5,7
Ictus emeticus (nausea, …
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