| Diagnostic difficulties of paroxysmal symptoms in a boy with Parry-Romberg syndrome. | |
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MedLine Citation:
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PMID: 20625966 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Parry-Romberg syndrome is characterized by progressive unilateral facial atrophy affecting subcutaneous tissue, cartilage and bone structures. Headache attacks and epilepsy are commonly associated with this syndrome but the underlying pathophysiology is still unknown. A case of a 12-year-old boy with Parry-Romberg syndrome and syringomyelia suffering from severe headache attacks and epileptic seizures is reported herein. Headache attacks were associated with bilateral autonomic symptoms and hyperventilation and were usually followed by complex partial and sometimes by secondary generalized tonic seizures. Detailed neuroimaging examinations were performed (magnetic resonance imaging [MRI] of the head, orbits, and spinal cord, MR angiography, and MR spectroscopy of the cerebellum). The EEG pattern revealed localized discharges contralaterally to the affected side. Antiepileptic treatment with carbamazepine was instituted with minimal effect. Modification of treatment (replacement with oxcarbazepine) was successful. In the reported patient interesting correlation of headache attacks, autonomic symptoms and epileptic seizures was observed. Additionally we believe it is the first report of coincident syringomyelia and Parry-Romberg syndrome. |
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Authors:
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Marek Kaciński; Agnieszka Biedroń; Anna Zajac; Małgorzata Steczkowska |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurologia i neurochirurgia polska Volume: 44 ISSN: 0028-3843 ISO Abbreviation: Neurol. Neurochir. Pol. Publication Date: 2010 May-Jun |
Date Detail:
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Created Date: 2010-07-13 Completed Date: 2010-08-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0101265 Medline TA: Neurol Neurochir Pol Country: Poland |
Other Details:
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Languages: eng Pagination: 297-303 Citation Subset: IM |
Affiliation:
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Katedra Neurologii Dzieci i Młodzie¿y UJ CM, ul. Wielicka 265, 30-663 Kraków. neupedkr@cm-uj.krakow.pl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Anticonvulsants / therapeutic use Carbamazepine / analogs & derivatives, therapeutic use Diagnosis, Differential Facial Asymmetry / diagnosis Facial Hemiatrophy / complications, diagnosis*, drug therapy Headache / etiology Humans Male Seizures / diagnosis, drug therapy, etiology Syringomyelia / diagnosis* |
| Chemical | |
Reg. No./Substance:
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0/Anticonvulsants; 28721-07-5/oxcarbazepine; 298-46-4/Carbamazepine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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