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

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 PN G. It is an important diagnosis to make to prevent sudden death and inappro priate treatment. The case illustrates the benefit of having a link with an international specialist and we discuss the importance of communication be tween developing and industrialized countries.