Involuntary Movements Misdiagnosed as Seizure During Vitamin B12 TreatmentCarman, Kursat Bora MD*; Belgemen, Tugba MD†; Yis, Uluc MD*Pediatric Emergency Care: November 2013 - Volume 29 - Issue 11 - p 1223–1224 doi: 10.1097/PEC.0b013e3182aa475e Illustrative Cases Abstract Author Information Abstract: Seizures and epilepsy are a common problem in childhood. Nonepileptic paroxysmal events are conditions that can mimic seizure and frequent in early childhood. Nonepileptic paroxysmal events can be due to physiological or exaggerated physiological responses, parasomnias, movement disorders, behavioral or psychiatric disturbances, or to hemodynamic, respiratory, or gastrointestinal dysfunction. Vitamin B12 deficiency is a treatable cause of failure to thrive and developmental regression, involuntary movements, and anemia. Involuntary movements rarely may appear a few days after the initiation of vitamin B12 treatments and might be misdiagnosed as seizure. Here, we report 2 patients who presented with involuntary movements with his video image. From the Divisions of *Pediatric Neurology and †Pediatric Hematology, Gaziantep Children’s Hospital, Gaziantep, Turkey. Disclosure: The authors declare no conflict of interest. Reprints: Kursat Bora Carman, MD, Division of Pediatric Neurology, Gaziantep Children’s Hospital, Batıkent Mah. Vehbi Dinçerler Cad., Sena Apt. B Blok No:26/9, 27000, Şehitkamil- Gaziantep, Turkey (e-mail: email@example.com). Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.peconline.com). Copyright © 2013 Wolters Kluwer Health, Inc. All rights reserved.