Abstract
We report a 15 year-old-male experiencing actualized epileptic seizures after mild traumatic brain injury. Since age 13 years, he had occasionally had an uncomfortable feeling similar to blepharoptosis. At 15 years of age, he was punched in the head during a fight. Three days after the incident, a tonic seizure occurred involving his right arm after the uncomfortable feeling in his eyelids. This seizure progressed to a secondary generalized seizure. There were no abnormal findings on head MRI. At first, the seizures were regarded as non-epileptic convulsions due to acute stress disorder caused by the fight. However, long-term video EEG monitoring revealed that all seizures corresponded to abnormal epileptic activities. The mild head injury without abnormal findings on head CT/MRI is often regarded as non-serious brain trauma not warranting medical intervention. However, this case suggests that some epileptic activities can be induced by very mild traumatic brain injury. In patients with post-traumatic complaints, it is important to conduct not only head CT/MRI examinations but also EEG.
