Epilepsia partialis continua with dystonic hand movement in a patient with a malformation of cortical development
Identifieur interne : 000337 ( France/Analysis ); précédent : 000336; suivant : 000338Epilepsia partialis continua with dystonic hand movement in a patient with a malformation of cortical development
Auteurs : Julie Zyss [France] ; Jing Xie-Brustolin [France] ; Philippe Ryvlin [France] ; Stéphane Peysson [France] ; Albert Beschet [France] ; Dominique Sappey-Marinier [France] ; Marc Hermier [France] ; Stéphane Thobois [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2007-09-15.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Dyskinesias (complications), Dystonia, Dystonia (complications), Epilepsia Partialis Continua (complications), Epilepsia Partialis Continua (pathology), Functional Laterality, Hand, Human, Humans, Magnetic Resonance Imaging, Male, Malformation, Middle Aged, Motor Cortex (abnormalities), Motor Cortex (physiopathology), Nervous system diseases, Positron-Emission Tomography, dystonia, epilepsia partialis continua, malformations of cortical development.
- MESH :
- abnormalities : Motor Cortex.
- complications : Dyskinesias, Dystonia, Epilepsia Partialis Continua.
- pathology : Epilepsia Partialis Continua.
- physiopathology : Motor Cortex.
- Functional Laterality, Hand, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Positron-Emission Tomography.
Abstract
Malformations of cortical development (MCD) with polymicrogyria and schizencephaly are due to abnormal cortical organization and usually manifest by intractable epilepsy and mental retardation. Epileptical activity is often hard to register and focal dystonia associated with such MCD has previously been described but without any metabolic imaging. We report here a 46‐year‐old man presenting with late‐onset atypical abnormal movements of his left hand associated with right central region MCD. To demonstrate the involvement of an epileptical focus, we performed [18F]FDG‐PET and fMRI both before and after a single dose of clobazam and diazepam, respectively. Characteristics of the abnormal hand movements, clinical response to the medication, and the result of the [18F]FDG‐PET and fMRI investigations all favor the diagnosis of epilepsia partialis continua. We conclude that the dystonic movement is part of the partial seizure. © 2007 Movement Disorder Society
Url:
DOI: 10.1002/mds.21489
Affiliations:
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2007-09-15">2007-09-15</date><biblScope unit="vol">22</biblScope><biblScope unit="issue">12</biblScope><biblScope unit="page" from="1793">1793</biblScope><biblScope unit="page" to="1796">1796</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">F2DBE75C57B859B6392304AA18C08816C2C48796</idno><idno type="DOI">10.1002/mds.21489</idno><idno type="ArticleID">MDS21489</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Dyskinesias (complications)</term><term>Dystonia</term><term>Dystonia (complications)</term><term>Epilepsia Partialis Continua (complications)</term><term>Epilepsia Partialis Continua (pathology)</term><term>Functional Laterality</term><term>Hand</term><term>Human</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Malformation</term><term>Middle Aged</term><term>Motor Cortex (abnormalities)</term><term>Motor Cortex (physiopathology)</term><term>Nervous system diseases</term><term>Positron-Emission Tomography</term><term>dystonia</term><term>epilepsia partialis continua</term><term>malformations of cortical development</term></keywords><keywords scheme="MESH" qualifier="abnormalities" xml:lang="en"><term>Motor Cortex</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Dyskinesias</term><term>Dystonia</term><term>Epilepsia Partialis Continua</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Epilepsia Partialis Continua</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Motor Cortex</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Functional Laterality</term><term>Hand</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Middle Aged</term><term>Positron-Emission Tomography</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Dystonie</term><term>Homme</term><term>Main</term><term>Malformation</term><term>Système nerveux pathologie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Malformations of cortical development (MCD) with polymicrogyria and schizencephaly are due to abnormal cortical organization and usually manifest by intractable epilepsy and mental retardation. Epileptical activity is often hard to register and focal dystonia associated with such MCD has previously been described but without any metabolic imaging. We report here a 46‐year‐old man presenting with late‐onset atypical abnormal movements of his left hand associated with right central region MCD. To demonstrate the involvement of an epileptical focus, we performed [18F]FDG‐PET and fMRI both before and after a single dose of clobazam and diazepam, respectively. Characteristics of the abnormal hand movements, clinical response to the medication, and the result of the [18F]FDG‐PET and fMRI investigations all favor the diagnosis of epilepsia partialis continua. We conclude that the dystonic movement is part of the partial seizure. © 2007 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Rhône-Alpes</li></region><settlement><li>Bron</li><li>Lyon</li><li>Valence (Drôme)</li></settlement></list><tree><country name="France"><noRegion><name sortKey="Zyss, Julie" sort="Zyss, Julie" uniqKey="Zyss J" first="Julie" last="Zyss">Julie Zyss</name></noRegion><name sortKey="Beschet, Albert" sort="Beschet, Albert" uniqKey="Beschet A" first="Albert" last="Beschet">Albert Beschet</name><name sortKey="Hermier, Marc" sort="Hermier, Marc" uniqKey="Hermier M" first="Marc" last="Hermier">Marc Hermier</name><name sortKey="Peysson, Stephane" sort="Peysson, Stephane" uniqKey="Peysson S" first="Stéphane" last="Peysson">Stéphane Peysson</name><name sortKey="Ryvlin, Philippe" sort="Ryvlin, Philippe" uniqKey="Ryvlin P" first="Philippe" last="Ryvlin">Philippe Ryvlin</name><name sortKey="Sappey Arinier, Dominique" sort="Sappey Arinier, Dominique" uniqKey="Sappey Arinier D" first="Dominique" last="Sappey-Marinier">Dominique Sappey-Marinier</name><name sortKey="Thobois, Stephane" sort="Thobois, Stephane" uniqKey="Thobois S" first="Stéphane" last="Thobois">Stéphane Thobois</name><name sortKey="Thobois, Stephane" sort="Thobois, Stephane" uniqKey="Thobois S" first="Stéphane" last="Thobois">Stéphane Thobois</name><name sortKey="Xie Rustolin, Jing" sort="Xie Rustolin, Jing" uniqKey="Xie Rustolin J" first="Jing" last="Xie-Brustolin">Jing Xie-Brustolin</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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