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Case report A five year and eight month old boy had a history of excessive crying during bathing which was followed by tingling pain in left lower limb, and subsequently flaccid hemiparesis. Within minutes, the left upper limb was also similarly affected. Within the next half an hour, the child proceeded to have headache, vomiting and fever, with dysarthria and then fell asleep. Within a day or two the child developed focal clonic seizures in the ipsilateral limb. Over the next couple of days, the seizures responded gradually to antiepileptic drugs and the hemiparesis showed complete recovery. After the hemiparesis had recovered, we noticed features of cerebellar ataxia and occasional drooling of saliva. Recovery of hemiparesis did not stop occasional twitching, clonic movements of the ipsilateral limb parts and difficulty in fine motor activities including wearing of shoe. Higher functions, sensory and autonomic functions, motor tone and power were intact. Systemic examination was normal.

Acetazolamide in the treatment of alternating hemiplegia of childhood: A case report with an eighteen month follow up