Hyperekplexia: a rare differential of neonatal fits described in a developing country

Ann Trop Paediatr. 1999 Dec;19(4):345-8. doi: 10.1080/02724939992185.


Hyperekplexia is a rare condition in which there is an exaggerated startle response. We report how a case presented in Papua New Guinea (PNG) and was diagnosed with international support. This is the first reported case in PNG. It is an important diagnosis to make to prevent sudden death and inappropriate treatment. The case illustrates the benefit of having a link with an international specialist and we discuss the importance of communication between developing and industrialized countries.

Publication types

  • Case Reports

MeSH terms

  • Anticonvulsants / therapeutic use
  • Clonazepam / therapeutic use
  • Developing Countries
  • Electrocardiography
  • Electroencephalography
  • Humans
  • Infant, Newborn
  • Male
  • Papua New Guinea
  • Reflex, Abnormal / physiology*
  • Reflex, Startle / physiology*
  • Seizures / diagnosis
  • Seizures / drug therapy
  • Seizures / physiopathology*
  • Tomography, X-Ray Computed


  • Anticonvulsants
  • Clonazepam