When school staff checked on a 4-year-old girl as she woke from a nap, they found her in a position her doctors say had never been reported in her type of epilepsy. She was on all fours with her elbows on the ground and her neck bent sharply backward, and she did not respond when staff called her name.
Physicians at JFK University Medical Center in Edison, New Jersey, later diagnosed self-limited epilepsy with autonomic seizures (SeLEAS), a childhood epilepsy syndrome formerly called Panayiotopoulos syndrome. Niranjana Kesavamoorthy and Savitra Bandari described the girl in a case report in Case Reports in Neurological Medicine, published Feb. 15, 2026, writing that the all-fours presentation had not been previously reported.
