Affiliations: Pediatric Department Sandwell General Hospital, West
Bromwich,United Kingdom
Note: [] Correspondence: Hassib Narchi, M.D., Consultant Pediatrician,
Pediatric Department Sandwell, General Hospital West Bromwich, B71 4HJ United
Kingdom. Tel: (44) 121 607 6417; fax: (44) 121 607 3596; E-mail:
[email protected]
Abstract: Three girls, aged between 7 months and 5 years, were referred with
recurrent paroxysmal manifestations since the age of 6 to 10 months. All three
had an entirely normal clinical examination, were initially thought to have
epileptic fits, their electroencephalogram was unremarkable, and the 'fits'
remained refractory to anticonvulsant therapy. They all had stereotypical and
reproducible manifestations, with clear evidence of distractibility.
Videotaping the manifestations by parents was crucial for the diagnosis. All
three were diagnosed to have autostimulatory behaviour or infantile
masturbation. No pathological psychosocial issues were identified in any of the
families who accepted the diagnosis with great relief. Infantile masturbation
mimics common pediatric problems, and, if unrecognized, may lead to
considerable parental anxiety, unnecessary investigations and inappropriate and
potentially harmful therapy. (J Pediatr Neurol 2003; 1(1): 43–45).