Epilepsia partialis continua with dystonic hand movement in a patient with a malformation of cortical development
Identifieur interne : 001533 ( PascalFrancis/Corpus ); précédent : 001532; suivant : 001534Epilepsia partialis continua with dystonic hand movement in a patient with a malformation of cortical development
Auteurs : Julie Zyss ; Jing Xie-Brustolin ; Philippe Ryvlin ; Stephane Peysson ; Albert Beschet ; Dominique Sappey-Marinier ; Marc Hermier ; Stéphane ThoboisSource :
- Movement disorders [ 0885-3185 ] ; 2007.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
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.
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Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 07-0491129 INIST |
---|---|
ET : | Epilepsia partialis continua with dystonic hand movement in a patient with a malformation of cortical development |
AU : | ZYSS (Julie); XIE-BRUSTOLIN (Jing); RYVLIN (Philippe); PEYSSON (Stephane); BESCHET (Albert); SAPPEY-MARINIER (Dominique); HERMIER (Marc); THOBOIS (Stéphane) |
AF : | Université de Lyon, Hospices Civils de Lyon, Hôpital Neurologique et Neurochirurgical Pierre Wertheimer, Service de Neurologie C/Lyon/France (1 aut., 2 aut., 4 aut., 8 aut.); Université de Lyon, Hospices Civils de Lyon, CTRS-IDEE, Hôpital Neurologique et Neurochirurgical Pierre Wertheimer, Service de Neurologie Fonctionnelle et d'Epileptologie/Lyon/France (3 aut.); Centre Hospitalier Valence, Service de Neurologie/Valence/France (5 aut.); Université de Lyon, CERMEP-Imagerie du vivant/69677 Bron/France (6 aut.); Hospices Civils de Lyon, Hôpital Neurologique et Neurochirurgical Pierre Wertheimer, Service de Neuroradiologie/Lyon/France (7 aut.); INSERM U 864/Bron/France (8 aut.) |
DT : | Publication en série; Courte communication, note brève; Niveau analytique |
SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2007; Vol. 22; No. 12; Pp. 1793-1796; Bibl. 10 ref. |
LA : | Anglais |
EA : | 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. |
CC : | 002B17; 002B17C; 002B17F |
FD : | Système nerveux pathologie; Dystonie; Main; Homme; Malformation |
FG : | Extrapyramidal syndrome; Mouvement involontaire; Muscle strié pathologie; Trouble neurologique; Encéphale pathologie; Système nerveux central pathologie |
ED : | Nervous system diseases; Dystonia; Hand; Human; Malformation |
EG : | Extrapyramidal syndrome; Involuntary movement; Striated muscle disease; Neurological disorder; Cerebral disorder; Central nervous system disease |
SD : | Sistema nervioso patología; Distonía; Mano; Hombre; Malformación |
LO : | INIST-20953.354000143464810160 |
ID : | 07-0491129 |
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Pascal:07-0491129Le document en format XML
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<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 [<sup>18</sup>
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<server><NO>PASCAL 07-0491129 INIST</NO>
<ET>Epilepsia partialis continua with dystonic hand movement in a patient with a malformation of cortical development</ET>
<AU>ZYSS (Julie); XIE-BRUSTOLIN (Jing); RYVLIN (Philippe); PEYSSON (Stephane); BESCHET (Albert); SAPPEY-MARINIER (Dominique); HERMIER (Marc); THOBOIS (Stéphane)</AU>
<AF>Université de Lyon, Hospices Civils de Lyon, Hôpital Neurologique et Neurochirurgical Pierre Wertheimer, Service de Neurologie C/Lyon/France (1 aut., 2 aut., 4 aut., 8 aut.); Université de Lyon, Hospices Civils de Lyon, CTRS-IDEE, Hôpital Neurologique et Neurochirurgical Pierre Wertheimer, Service de Neurologie Fonctionnelle et d'Epileptologie/Lyon/France (3 aut.); Centre Hospitalier Valence, Service de Neurologie/Valence/France (5 aut.); Université de Lyon, CERMEP-Imagerie du vivant/69677 Bron/France (6 aut.); Hospices Civils de Lyon, Hôpital Neurologique et Neurochirurgical Pierre Wertheimer, Service de Neuroradiologie/Lyon/France (7 aut.); INSERM U 864/Bron/France (8 aut.)</AF>
<DT>Publication en série; Courte communication, note brève; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2007; Vol. 22; No. 12; Pp. 1793-1796; Bibl. 10 ref.</SO>
<LA>Anglais</LA>
<EA>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 [<sup>18</sup>
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 [<sup>18</sup>
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.</EA>
<CC>002B17; 002B17C; 002B17F</CC>
<FD>Système nerveux pathologie; Dystonie; Main; Homme; Malformation</FD>
<FG>Extrapyramidal syndrome; Mouvement involontaire; Muscle strié pathologie; Trouble neurologique; Encéphale pathologie; Système nerveux central pathologie</FG>
<ED>Nervous system diseases; Dystonia; Hand; Human; Malformation</ED>
<EG>Extrapyramidal syndrome; Involuntary movement; Striated muscle disease; Neurological disorder; Cerebral disorder; Central nervous system disease</EG>
<SD>Sistema nervioso patología; Distonía; Mano; Hombre; Malformación</SD>
<LO>INIST-20953.354000143464810160</LO>
<ID>07-0491129</ID>
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