Passive toothbrushing-induced seizures: Report of a severely disabled girl

Autor: Ryuichi Nishii, Ikuko Hiejima, Tatsuya Higashi, Tatsuya Fujii, Anri Hayashi, Fumihito Nozaki, Keiko Saito, Tomoko Miyajima, Tomohiro Kumada
Rok vydání: 2013
Předmět:
Zdroj: Brain and Development. 35:91-94
ISSN: 0387-7604
DOI: 10.1016/j.braindev.2012.03.013
Popis: Toothbrushing-induced seizures are rare reflex seizures triggered by the brushing of one's own teeth. We encountered an 11-year-old girl with severe mental retardation, hypotonic cerebral palsy and epilepsy who presented with toothbrushing-induced seizures. She had had spontaneous brief tonic seizures several times a day since the age of 1 year and 2 months and started presenting with the same type of seizures induced by toothbrushing from the age of 8 years. As she could not brush her teeth by herself due to her disabilities, her mother brushed her teeth daily for her. The interictal EEG showed spike-and-wave complexes in the frontal regions bilaterally. The [Tc-99m]HMPAO-SPECT at the time of the seizure induced by toothbrushing suggested that the seizures originated from the left perisylvian cortex. This is the first report of toothbrushing-induced seizures triggered by the brushing of the patient's teeth by another person ('passive toothbrushing').
Databáze: OpenAIRE