Document Detail

Focal motor seizures mimicking hemifacial spasm.
MedLine Citation:
PMID:  18325823     Owner:  NLM     Status:  MEDLINE    
A young female patient, who presented acutely with an unusual movement disorder characterized by hyperkinetic facial movements, was referred to us for hemifacial spasm. The only abnormality on neurological examination was myoclonus of the left perioral and bilateral periorbital muscles, exacerbated by mental tasks. A week later, the patient also presented two generalized tonic-clonic seizures on awakening and was successfully treated with antiepileptic drugs. Laboratory and neuroimaging investigations yielded normal findings. Although we were unable to identify a cortical generator, the concomitant occurrence of generalized seizures, the disappearance of symptoms after treatment and the topography of the myoclonus support an epileptic origin of this myoclonus.
Cristina Deluca; Giorgio Tommasi; Giuseppe Moretto; Antonio Fiaschi; Michele Tinazzi
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-03-05
Journal Detail:
Title:  Parkinsonism & related disorders     Volume:  14     ISSN:  1353-8020     ISO Abbreviation:  Parkinsonism Relat. Disord.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-17     Completed Date:  2009-04-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9513583     Medline TA:  Parkinsonism Relat Disord     Country:  England    
Other Details:
Languages:  eng     Pagination:  649-51     Citation Subset:  IM    
Dipartimento di Scienze Neurologiche e della Visione, Università di Verona, Piazzale Scuro 9, 37134 Verona, Italy.
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MeSH Terms
Electroencephalography / methods
Electromyography / methods
Hemifacial Spasm / diagnosis*
Movement Disorders / physiopathology
Myoclonus / physiopathology
Seizures / physiopathology*
Young Adult

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