Epilepsia partialis continua with dystonic hand movement in a patient with a malformation of cortical development
Identifieur interne : 003020 ( Istex/Curation ); précédent : 003019; suivant : 003021Epilepsia 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.
English descriptors
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
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DOI: 10.1002/mds.21489
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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>dystonia</term><term>epilepsia partialis continua</term><term>malformations of cortical development</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></record>Pour manipuler ce document sous Unix (Dilib)
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