Paudel, Subodh SharmaAgrawal, Nikhil2026-01-012026-01-012019https://hdl.handle.net/20.500.14572/3993Subodh Sharma Paudel Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu,Nepal Nikhil Agrawal Nepalese Army Institute of Health Sciences, Shree Birendra Hospital, Chhauni, Kathmandu, NepalAbstract: Being a rare disorder, Gelastic seizure primarily presents as episodes of sudden occurrence of emotions usually associated with laugh or giggle due to facial contractions. A child presented with abnormal body movement in the form of smiling and uprolling of eyes, which was clinically diagnosed as gelastic seizure, a rare form of a very common presentation, epilepsy. The case is presented to highlight abnormal posturing and smiling episodes in a child can be a form of seizure episode, which generally presents with a diagnostic dilemma and therapeutic nightmare to the clinician.en-USFunctional brain imagingGelastic EpilepsyHypothalamic HamartomaSmiling attitudeVideo-EEGArticle