Sen Aysu, Atakli Dilek, Guresci Bahar, Arpaci Baki
Ideggyogy Sz. 2014 Nov 30;67(11-12):426-9.
Paroxysmal dyskinesias are rare, heterogeneous group of disorders characterised by recurrent attacks of involuntary movements. The four classic categories of paroxysmal dyskinesias are kinesigenic, nonkinesigenic, exercise-induced and hypnogenic. There are some patients that do not fit in these four groups of paroxysmal dyskinesia and are termed as "mixed type". We describe a 13-year-old girl who had features of both paroxysmal kinesigenic dyskinesia and paroxysmal nonkinesigenic dyskinesia that was misdiagnosed as refractory epilepsy. She improved substantially with a combination of carbamazepine and clonazepame. It is important to recognize the clinical presentation of paroxysmal dyskinesias and distinguish these movement disorders from other disorders, such as psychogenic disorders and epilepsia, for deciding the treatment and prognosis of the patients. This case highlights the importance of the recognition of a rare paroxysmal movement disorders.
发作性运动障碍是一组罕见的、异质性疾病，其特征为反复发作的不自主运动。发作性运动障碍的四个经典类型为运动诱发性、非运动诱发性、运动诱发型和睡眠相关性。有一些患者不符合这四种类别的发作性运动障碍，被称为“混合型”。我们描述了一名13岁女孩，她同时具有发作性运动诱发性运动障碍和发作性非运动诱发性运动障碍的特征，曾被误诊为难治性癫痫。她联合使用卡马西平和氯硝西泮后有显著改善。认识发作性运动障碍的临床表现并将这些运动障碍与其他疾病（如精神性疾病和癫痫）区分开来，对于确定患者的治疗和预后很重要。该病例突出了识别罕见发作性运动障碍的重要性。
