Successful treatment of migrating partial seizures in Wolf–Hirschhorn syndrome with bromide

A girl with mild psychomotor developmental delay developed right or left hemiclonic convulsion at 10 months of age. One month later, clusters of hemiclonic or bilateral tonic seizures with eyelid twitching emerged, resulting in status epilepticus. Treatment with phenobarbital and potassium bromide completely terminated the seizures within 10 days. Ictal electroencephalography revealed a migrating focus of rhythmic 3–4 Hz waves from the right temporal to right frontal regions and then to the left frontal regions. Genetic analysis was conducted based on the characteristic facial appearance of the patient, which identified a 2.1-Mb terminal deletion on chromosome 4p. This is the first case of Wolf–Hirschhorn syndrome complicated by epilepsy with migrating partial seizures.