We present a 4-year-old girl with stereotyped episodes of inability to
speak and dystonic posturing of the face and extremities lasting 20 m
inutes. An older brother and mother had similar spells in childhood. R
outine and video-EEG during events were normal. The diagnosis was non-
kinesigenic paroxysmal dystonic choreoathetosis since the episodes wer
e not exacerbated by movement. Gabapentin 10 mg/kg/d eliminated most a
ttacks.