Recurrent @entity4681 facial weakness of possible XXXX etiology: a case report.

@entity1 @entity4798 @entity1625 @entity2103 @entity4681 @entity281 @entity302 @entity25
We report on an otherwise healthy @entity1 who presented with clusters of alternating central facial nerve paresis. At 11 months of age, the @entity1 showed intermittent facial asymmetry compatible with right-sided @entity4681 facial paresis and accompanying incomplete @entity4681 hypoglossal paresis. Laboratory work-up and imaging studies did not reveal signs of @entity281 , @entity4798 , and after one week, symptoms spontaneously resolved. Similar episodes affecting alternate sides were noted at ages of 17, 27 and 49 months lasting for 4-14 days. At 49 months, EEG showed right temporo-occipital benign sharp waves with activation during @entity25 . A diagnosis of @entity1625 with negative motor phenomena was made. She is now 60 months old and no further episodes have occurred without antiepileptic treatment. Ictal orofacial phenomena are the clinical hallmark of @entity1625 with centro-temporal sharp waves (BECTS). As in our @entity1 , negative @entity302 motor phenomena frequently lead to a broad diagnostic work-up. In @entity1 presenting with @entity2103 , the possibility of negative @entity302 motor phenomena should be considered.
