Montagna P, Cirignotta F, Giovanardi Rossi P, Lugaresi E
Institute of Neurology, University of Bologna, Italy.
Eur Neurol. 1992;32(4):185-9. doi: 10.1159/000116819.
Two unrelated children displayed attacks of paroxysmal jerky 'puppet-like' movements lasting 2-3 min. The attacks were not kinesigenic and occurred during wakefulness precipitated by physical exercise and during NREM sleep, spontaneous or upon arousal and awakenings. Paroxysmal dystonic choreoathetosis was excluded by the absent family history, and paroxysmal kinesigenic dystonia by the absence of triggering effects by sudden movements and efficacy of anticonvulsants. Pattern and duration of involuntary movements were not those typical of nocturnal paroxysmal dystonia. Our cases emphasize that overlap exists among the different clinical categories of paroxysmal dyskinesia.
两名无血缘关系的儿童出现阵发性急促的“木偶样”运动发作，持续2 - 3分钟。这些发作并非运动诱发性，在清醒时因体育锻炼诱发，在非快速眼动睡眠期间自发出现，或在觉醒和醒来时出现。因无家族史排除了阵发性肌张力障碍性舞蹈手足徐动症，因突然运动无触发效应且抗惊厥药无效排除了阵发性运动诱发性肌张力障碍。不自主运动的模式和持续时间并非夜间阵发性肌张力障碍的典型表现。我们的病例强调阵发性运动障碍的不同临床类型之间存在重叠。
