Uncommon Manifestation of Complex Partial Seizure in a 7 Years old Child ; a Case Report

Complex partial seizures are known as focal seizures with impaired awareness. Excluding the first year of life, complex partial seizures are the most frequent type of seizures in patients with epilepsy. A detailed history of the patient and family members is a vital element in diagnosing seizures. Although rare, psychotic and anxiety symptoms in individuals may be the result of the seizure. A 7-year-old boy referred to our hospital emergency room complaining of fear, crying, screaming, and the imminent death sensation and decreased consciousness. The patient's symptoms started two years ago. He was treated with Risperidone and with the impression of ADHD and anxiety disorder. The patient's laboratory tests were unremarkable. A brain MRI was performed with a seizure protocol, with no pathological findings. EEG was then performed for the patient, which confirmed focal seizures with impaired awareness. The patient was prescribed carbamazepine and phenytoin, and Risperidone was stopped.