ABSTRACT
J was a little girl with an angelic face and curly blonde hair. She was aged 2 years 8 months when her mother brought her to my office with a 6-month history of staring spells. These attacks occurred one to four times a day and consisted of a blank stare, eyelid fluttering, some jerking of the eyebrows and rolling the eyes upwards. They lasted 5-20 seconds. During this time she was motionless and unresponsive. The spells could not be interrupted. There was no associated urinary incontinence, although some urinary urgency occurred after the attacks. They were exacerbated by fatigue. Rarely, she had slight jerking movements of her arms. These spells had never caused her to fall or lose consciousness.
