{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T11:12:47Z","timestamp":1791112367277,"version":"4.1.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[1991,10,1]],"date-time":"1991-10-01T00:00:00Z","timestamp":686275200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Child Neurol"],"published-print":{"date-parts":[[1991,10]]},"abstract":"<jats:p>During evaluation of video-electroencephalograms (EEGs) performed in our laboratory, we identified 11 patients who had unusual repetitive movements that appeared to be variants of infantile spasms. Movements included yawning, facial grimacing, eye movements, and transient focal motor activity. These symptoms coincided with generalized attenuation, slow-wave transients, or other EEG ictal changes characteristic of infantile spasms. The background EEGs showed true or modified hypsarrhythmia. This series of patients shows that infantile spasms may be extremely subtle and clinically atypical. Patients who have these variants may or may not also have typical infantile spasms. In some patients, the seizures appear to be time-related or medication-induced modifications of more typical infantile spasms. (J Child Neurol 1991;6:313-318).<\/jats:p>","DOI":"10.1177\/088307389100600405","type":"journal-article","created":{"date-parts":[[2008,12,24]],"date-time":"2008-12-24T02:13:25Z","timestamp":1230084805000},"page":"313-318","source":"Crossref","is-referenced-by-count":42,"title":["Unusual Variants of Infantile Spasms"],"prefix":"10.1177","volume":"6","author":[{"given":"Jane F.","family":"Donat","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Children's Hospital, Ohio State University School of Medicine, Columbus, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis S.","family":"Wright","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children's Hospital, Ohio State University School of Medicine, Columbus, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1991,10,1]]},"reference":[{"key":"atypb1","unstructured":"Lacy JR, Penry JK: Infantile Spasms. New York, Raven Press, 1976, pp 9-17."},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410060306"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1016\/S0887-8994(85)80002-3"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1016\/S0387-7604(88)80004-4"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1157.1983.tb04874.x"},{"key":"atypb6","first-page":"17","author":"Aicardi J.","year":"1986","journal-title":"International Review of Child Neurology Series"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4471-1401-7_3"},{"key":"atypb8","unstructured":"Jeavons PM, Bower BD: Infantile Spasms. A Review of the Literature and a Study of 112 Cases . London, Spastics Society and Heinemann, 1964, Clinics in Developmental Medicine No. 15, pp 8-25."},{"key":"atypb9","unstructured":"Holmes GL: Diagnosis and Management of Seizures in Children. 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