Austin Quinn, MD, and Meghan Beucher, MD

CASE:

The patient is a 4 month-old ex-full term fully vaccinated otherwise healthy male who presented to the ED with one week of abnormal movements. The patient's mother stated that over the past week he had had increasingly frequent clusters of 5 or 6 episodes of flexing his hips and arms in toward his trunk, accompanied by abnormal eye movements with upward deviation and head drop. She sent videos to the PCP who felt it was from gas pain and started the patient on simethicone, without improvement in symptoms. Mother commented that they appeared to happen more often before sleep, but could happen when the patient was wide awake. He appeared to remain conscious throughout the episodes and would often cry afterwards.

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