夜间阵发性肌张力障碍——病例报告。

Nocturnal paroxysmal dystonia - case report.

作者信息

Kania Karolina, Niśkiewicz Izabela, Wierzbicka-Wichniak Aleksandra, Kozubski Wojciech, Tokarz-Kupczyk Elżbieta

机构信息

Department of Neurology, Poznan University of Medical Sciences, Poznan, Poland.

出版信息

Neurol Neurochir Pol. 2015;49(2):134-6. doi: 10.1016/j.pjnns.2015.01.009. Epub 2015 Jan 31.

DOI:10.1016/j.pjnns.2015.01.009

PMID:25890930

Abstract

Nocturnal paroxysmal dystonia describes a syndrome consisting of recurrent motor episodes of dystonic-dyskinetic features arising from non-rapid eye movement (NREM) sleep. In the article, the authors present female case of nocturnal paroxysmal dystonia. The patient has had attacks since her childhood and was eventually diagnosed at the age of 48. Therapy with carbamazepine considerably reduced the frequency and entent of seizures. The present case evidences that nocturnal paroxysmal dystonia still is a diagnostic challenge for clinicians. Especially, we emphasize the importance of polysomnography in the verification of the diagnosis.

摘要

夜间阵发性肌张力障碍描述的是一种由非快速眼动（NREM）睡眠中出现的肌张力障碍 - 运动障碍性特征的反复运动发作组成的综合征。在本文中，作者介绍了一例女性夜间阵发性肌张力障碍病例。该患者自幼发病，最终在48岁时被确诊。卡马西平治疗显著降低了发作频率和程度。本病例证明，夜间阵发性肌张力障碍对临床医生来说仍然是一个诊断挑战。特别是，我们强调多导睡眠图在诊断验证中的重要性。