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Autonomic status epilepticus in a child with Panayiotopoulos syndrome (video-EEG)

Top: High amplitude spikes-slow waves are recorded from the bifrontal regions prior to the onset of the electrical discharge, which is also purely bifrontal. Bottom: First clinical symptoms with 3 to 4 coughs and marked tachycardia appeared 13 minutes from the onset of the electrical discharge, when this had become diffuse. (Used with permission: Koutroumanidis M, Rowlinson S, Sanders S. Recurrent autonomic status epilepticus in Panayiotopoulos syndrome: video-EEG studies. Epilepsy Behav 2005;7(3):543-7.)