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Epilepsy in the Freeman Sheldon Syndrome

weeks after a normal pregnancy, with a birth weight of 3.12 kg and Apgar scores of 3 and 8 at I and 10 minutes, respectively. He was noted to have a small mouth, immobile face, camptodactyly, severe talipes, stiff joints, and an inguinal hernia, all typical features of the Freeman Sheldon syndrome (Figure 1). He had persistent stridor, and direct laryngoscopy subsequently showed floppy arytenoids. His respiratory distress was exacerbated by recurrent aspiration and a series of upper and lower respiratory infections. From the age of 2 weeks, he had repeated brief episodes of stiffening, sometimes associated with rapid vertical oscillation of the eyes, apnea, cyanosis, and alteration of consciousness. No metabolic or infective cause was found. At the age of 3 months, he had pneumonia and