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Jeffrey S. Gerber, MD, PhD; Samir S. Shah, MD
Author Affiliations: Division of Infectious Diseases, The Children's Hospital of Philadelphia, and the Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia.

Arch Pediatr Adolesc Med. 2006;160:1081.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 15-year-old boy was initially seen in the emergency department with complaints of right facial twitching accompanied by drooling and inability to speak. The spells lasted for approximately 2 minutes, having occurred 3 times per day for the past 2 weeks, and were associated with mild headaches. There was no fever, nausea, vomiting, weight loss, or trauma. There was no medical history of seizures or family history of epilepsy. The patient had immigrated to the northeastern United States from Mexico 1 months previously, where he had lived on a farm housing chickens and pigs. Vital signs were within normal limits for age. Mental status, strength, tone, and deep tendon reflexes were all normal. Cranial nerve examination demonstrated rightward deviation of the tongue but results were otherwise normal, as were results of cerebellar and Babinski tests. Complete blood cell count and serum . . . [Full Text of this Article]

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