BENIGN IDIOPATHIC INFANTILE MASTURBATION: A CASE REPORT OF SEIZURE MIMICKING IN A 3-YEAR-OLD INFANT
DOI:
https://doi.org/10.21776/ub.mnj.2023.009.01.13Keywords:
Gratification disorder, Benign idiopathic infantile masturbationAbstract
Background: Benign idiopathic infantile masturbation (infantile dyskinesia) or also known as gratification disorder is a rare abnormal paroxysmal movement disorder that occurs in children between 3 months and 3 years old. This disorder is characterized by self-stimulation of the genitalia and associated with unusual posturing and movements. Therefore, it could mimic as seizure.2 The diagnosis of this disorder may be perplexing and scarcely reported.
Case Findings: We reported a 3 years old infant with abnormal behavior and posturing with rocking and thrusting movements accompanied by erection and clear secretion from his penis. The episodes were described as hip and knee flexion towards the abdomen, plantar flexion with flexion of the toes, extension of the elbows, clenched fists, and this behavior always occurred while lying in bed. Physical and neurological examination showed normal results. The electroencephalogram (EEG) was within normal limits hence done to exclude seizure as diagnosis. Parents were then educated and the child now does not show any previous behavior.
Conclusion: Benign infantile masturbation is a harmless behavior that is scarcely reported in journals and commonly mistaken as seizure. It presents with typical clinical characteristics and commonly found in females. However, our case report showed that this disorder may also be found in male with additional characteristics such as erection and clear secretion from the penis. To date, there is no exact treatment that could alleviate the symptom other than patient education.
Keywords: Gratification Disorder, Benign Infantile Masturbation.
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References
Koul R, Al Futaisi A, Mani R, Abdelrahim R, Al Adi A. Gratification phenomena in infancy: A report of twenty-nine children. Journal of Pediatric Neurology; 2019. 18(03):141–3. DOI: 10.1055/s-0039-1679902
Ahmad MM, Ahmed H. Childhood masturbation simulating epileptic seizures: A report of two cases and review of the literature. Nigerian Journal of Paediatrics; 2013. 40(3):311–313.
DOI: 10.4314/njp.v40i3,24
Patterson T, Scott C. Behavioural management of inappropriate masturbation in an 8-year-old girl. Child & Family Behaviour Therapy; 2013. 35(3):256–63. DOI: 10.1080/07317107.2013.818907
Ubuane PO, Salisu MA, Oyinlade AO, Akinola AO. Infantile masturbation in a Nigerian child: A case report of a rare seizure mimic. Annals of Health Research; 2021. 67–73. DOI: 10.30442/ahr.0701-08-117
Ayalew M, Ayal M. Gratification disorder (infantile/childhood masturbation with posturing) in a 5-year-old female child. Ethiopian Journal of Pediatrics and Child Health; 2020. 15(02):61-64. Available from: https://www.ejpch.net/index.php/ejpch/article/view/7
Shiferaw N, Yonas B. A rocking child: Infantile masturbation in a five-year-old girl. Ethiopian Medical Journal; 2020. 58(03):271-274. Available from: https://emjema.org/index.php/EMJ/article/download/1452/623/3819
Yang ML. Masturbation in infancy and early childhood presenting as a movement disorder: 12 cases and a review of the literature. Pediatrics; 2005. 116(6):1427–32. DOI: 10.1542/peds.2005-0532
Satapathy AK, Das L, Biswal B. Gratification behaviour: A seizure mimicker in children. Sri Lanka Journal of Child Health; 2020. 49(1):75.
DOI: 10.4038/sljch.v49i1.8903
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