A case of choreiform movement presentation in a difficult to control epilepsy

Autor: Gisele N.M. Sion, Aline Curcio de Moraes, Eduardo A.R. Silva, André V.S. Barbosa, Barbara M.R. Sousa, Wesley M. Vieira, Antonio P. Gomes Neto, Cesar A. Lamberti, Pedro M.G. Molina, Maria do Carmo V. Santos
Rok vydání: 2018
Předmět:
Zdroj: Neurophysiologie Clinique. 48:138
ISSN: 0987-7053
DOI: 10.1016/j.neucli.2018.05.029
Popis: Objectives Epilepsy is a prevalent neurological disease; refractory epilepsy is often associated with congenital malformations of the brain. This condition is highly disabling, affecting normal brain development and learning abilities. Our objective is to report a case of a child with right mesial temporal mesial sclerosis, with a rare clinical presentation: choreiform movements. Methods Patient ACSP, 8 years old, female, started epileptic seizure at 4 years of age, characterized by involuntary choreiform movements in the left dimidium, without loss of consciousness, short duration and difficult to control. A year ago he had worsening of the episodes with more prolonged crises, makes a movement of tonic extension of the left arm, to the teeth and leaves the eyes wide open. She is on high doses of anti-epileptic drugs without control. Magnetic resonance imaging shows right mesial temporal mesial sclerosis. Results The patient underwent video-EEG monitoring, presenting choreiform movements in the left side of the body, almost continuous. Ictal EEG: focal slowing characterized by delta theta rhythmic activity in the right temporal region. Inter-ictal EEG: acute near-continuous paroximal waves in the right hemisphere. Conclusions Mesial temporal lobe epilepsy is the most common form of partial epilepsy in adults, the presentation is usually in childhood. It can be sporadic, usually with a positive family history. Anatomic or functional lobectomy is indicated if epilepsy is clinically intractable. The patient is now waiting to undergo neurosurgery.
Databáze: OpenAIRE
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