«Dear Editor,
We report the case of a 41-year-old male, whose first symptoms appeared at the age of four and consisted of impairment while walking on toes due to contractures of both Achilles tendons. At 11 years old, he began experiencing brief episodes of sudden loss of awareness, lasting less than a minute, with post-ictal amnesia. Carbamazepine 400 mg daily was initiated and maintained over three decades without seizure recurrence. During adolescence, he developed a severe rigid spine and multiple contractures of the elbows, knees, and interphalangeal joints. Later, at 40 years old, he mentioned the onset of transient episodes of flashing lights in his visual field, lasting a few seconds, without loss of awareness or associated headache.»

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