Autor: |
Umetani K; National Epilepsy Center, NHO Shizuoka Institute of Epilepsy and Neurological Disorders, Japan., Matsudaira T; National Epilepsy Center, NHO Shizuoka Institute of Epilepsy and Neurological Disorders, Japan., Usui N; National Epilepsy Center, NHO Shizuoka Institute of Epilepsy and Neurological Disorders, Japan., Tokumoto K; National Epilepsy Center, NHO Shizuoka Institute of Epilepsy and Neurological Disorders, Japan., Motoyama R; National Epilepsy Center, NHO Shizuoka Institute of Epilepsy and Neurological Disorders, Japan., Kawaguchi N; National Epilepsy Center, NHO Shizuoka Institute of Epilepsy and Neurological Disorders, Japan., Araki Y; National Epilepsy Center, NHO Shizuoka Institute of Epilepsy and Neurological Disorders, Japan., Kondo A; National Epilepsy Center, NHO Shizuoka Institute of Epilepsy and Neurological Disorders, Japan., Nishida T; National Epilepsy Center, NHO Shizuoka Institute of Epilepsy and Neurological Disorders, Japan., Ikeda H; National Epilepsy Center, NHO Shizuoka Institute of Epilepsy and Neurological Disorders, Japan., Takahashi Y; National Epilepsy Center, NHO Shizuoka Institute of Epilepsy and Neurological Disorders, Japan. |
Abstrakt: |
Mahjong is one of the most popular Chinese tile games played in Japan. Mahjong-related seizures (MRS) are rare praxis-induced seizures. We identified three patients with MRS from February 2000 to February 2021. All cases were men, with a middle-age onset, generalized convulsive seizures, and lack of non-provoked, myoclonic, and absence seizures. All patients had no or non-specific neuroimaging or electroencephalogram abnormalities. They did not have features linked to idiopathic generalized epilepsy. All patients were seizure-free after behavioral adjustments, although one patient required anti-seizure medication and avoided long duration games. These changes may help other patients with MRS continue playing Mahjong. |