Recurrent Episodes of Weak Spells in a 15-Year-Old Boy

A 15-year-old boy was referred for evaluation of “weak spells” since early childhood. The frequency of these episodes was on an average once a month, and their duration was variable from 4-6 hours to 1-2 days. There was no correlation to dietary intake, prior physical activity, or time of the day. During these spells, there was no reported pain. He experienced difficulty in standing, walking, climbing stairs, and raising his arms over his head. There were no associated cardiac or respiratory symptoms and no reported speech or swallowing difficulties during these spells. These spells would abort spontaneously, and he would always return to his baseline. The examination during the spells was significant for decreased tone and absent reflexes.

Source: Seminars in Pediatric Neurology - April 14, 2014 Category: Neurology Authors: Radhika Dhamija, John B. Bodensteiner Source Type: research