Le manifestazioni parossistiche non epilettiche

A 9-month-old infant, under follow-up for neonatal sepsis due to Streptococcus agalactiae, presented to the Emergency Department with episodes of head drooping, sometimes accompanied by blinking. During the clinical examination, the infant showed normal tone and motor skills. The video EEG revealed episodes of forward head flexion without EEG correlation. The diagnosis was nonepileptic paroxysmal manifestations, known as ‘nonepileptic head drops’. It is essential to distinguish these manifestations from epileptic seizures to prevent misdiagnosis and inappropriate treatments.