A Single-center Analysis of Three Japanese Patients with Mahjong-related Seizures.

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.
Jazyk: angličtina
Zdroj: Internal medicine (Tokyo, Japan) [Intern Med] 2023 Apr 15; Vol. 62 (8), pp. 1227-1230. Date of Electronic Publication: 2022 Sep 13.
DOI: 10.2169/internalmedicine.9798-22
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.
Databáze: MEDLINE