Epilepsia partialis continua with dystonic hand movement in a patient with a malformation of cortical development.
Identifieur interne : 001D66 ( Ncbi/Curation ); précédent : 001D65; suivant : 001D67Epilepsia partialis continua with dystonic hand movement in a patient with a malformation of cortical development.
Auteurs : Julie Zyss [France] ; Jing Xie-Brustolin ; Philippe Ryvlin ; Stéphane Peysson ; Albert Beschet ; Dominique Sappey-Marinier ; Marc Hermier ; Stéphane ThoboisSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2007.
English descriptors
- KwdEn :
- Dyskinesias (complications), Dystonia (complications), Epilepsia Partialis Continua (complications), Epilepsia Partialis Continua (pathology), Functional Laterality, Hand, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Motor Cortex (abnormalities), Motor Cortex (physiopathology), Positron-Emission Tomography.
- 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 [(18)F]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 [(18)F]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.
DOI: 10.1002/mds.21489
PubMed: 17638319
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sortKey="Ryvlin, Philippe" sort="Ryvlin, Philippe" uniqKey="Ryvlin P" first="Philippe" last="Ryvlin">Philippe Ryvlin</name></author><author><name sortKey="Peysson, Stephane" sort="Peysson, Stephane" uniqKey="Peysson S" first="Stéphane" last="Peysson">Stéphane Peysson</name></author><author><name sortKey="Beschet, Albert" sort="Beschet, Albert" uniqKey="Beschet A" first="Albert" last="Beschet">Albert Beschet</name></author><author><name sortKey="Sappey Marinier, Dominique" sort="Sappey Marinier, Dominique" uniqKey="Sappey Marinier D" first="Dominique" last="Sappey-Marinier">Dominique Sappey-Marinier</name></author><author><name sortKey="Hermier, Marc" sort="Hermier, Marc" uniqKey="Hermier M" first="Marc" last="Hermier">Marc Hermier</name></author><author><name sortKey="Thobois, Stephane" sort="Thobois, Stephane" uniqKey="Thobois S" first="Stéphane" last="Thobois">Stéphane Thobois</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date 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Civils de Lyon, Hôpital Neurologique et Neurochirurgical Pierre Wertheimer, Service de Neurologie C, Lyon</wicri:regionArea><placeName><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Xie Brustolin, Jing" sort="Xie Brustolin, Jing" uniqKey="Xie Brustolin J" first="Jing" last="Xie-Brustolin">Jing Xie-Brustolin</name></author><author><name sortKey="Ryvlin, Philippe" sort="Ryvlin, Philippe" uniqKey="Ryvlin P" first="Philippe" last="Ryvlin">Philippe Ryvlin</name></author><author><name sortKey="Peysson, Stephane" sort="Peysson, Stephane" uniqKey="Peysson S" first="Stéphane" last="Peysson">Stéphane Peysson</name></author><author><name sortKey="Beschet, Albert" sort="Beschet, Albert" uniqKey="Beschet A" first="Albert" last="Beschet">Albert Beschet</name></author><author><name sortKey="Sappey Marinier, Dominique" sort="Sappey Marinier, Dominique" uniqKey="Sappey Marinier D" first="Dominique" last="Sappey-Marinier">Dominique Sappey-Marinier</name></author><author><name sortKey="Hermier, Marc" sort="Hermier, Marc" uniqKey="Hermier M" first="Marc" last="Hermier">Marc Hermier</name></author><author><name sortKey="Thobois, Stephane" sort="Thobois, Stephane" uniqKey="Thobois S" first="Stéphane" last="Thobois">Stéphane Thobois</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Dyskinesias (complications)</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>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Middle Aged</term><term>Motor Cortex (abnormalities)</term><term>Motor Cortex (physiopathology)</term><term>Positron-Emission Tomography</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></textClass></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 [(18)F]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 [(18)F]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.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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