局灶性运动性发作的运动障碍现象学。
Movement disorders phenomenology in focal motor seizures.
机构信息
Edmond J. Safra Program in Parkinson's Disease, Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, UHN, Toronto, Ontario, Canada; Division of Neurology, University of Toronto, Toronto, Ontario, Canada; Krembil Brain Institute, Toronto, Ontario, Canada.
Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
出版信息
Parkinsonism Relat Disord. 2019 Apr;61:161-165. doi: 10.1016/j.parkreldis.2018.10.021. Epub 2018 Oct 16.
INTRODUCTION
Although focal motor seizures may resemble one or more movement disorders their phenomenology and prevalence remain uncertain.
METHODS
To examine the extent to which focal motor seizures can present with a phenomenology fulfilling diagnostic criteria for movement disorders, 100 consecutive patients with focal motor seizures were rated by movement disorders experts, epileptologists, and general neurologists.
RESULTS
A focal motor seizure phenomenologically manifested as a defined movement disorder in 29% of the patients from a consecutive video-EEG documented cohort as per consensus among experts: myoclonus and dystonia (10 and 9 cases, respectively) were the most common movement disorders, followed by chorea (4), stereotypies (3) myoclonus-dystonia (2), and tremor (1).
CONCLUSIONS
Movement disorders and focal motor epilepsy share overlapping movement phenomenology.
简介
尽管局灶性运动性发作可能类似于一种或多种运动障碍，但它们的表现和流行程度仍不确定。
方法
为了研究局灶性运动性发作在多大程度上可以表现为满足运动障碍诊断标准的表现，100 例连续的局灶性运动性发作患者由运动障碍专家、癫痫专家和普通神经科医生进行评估。
结果
根据专家共识，在连续视频-脑电图记录的队列中，29%的局灶性运动性发作患者的发作表现为明确的运动障碍：肌阵挛和肌张力障碍（分别为 10 例和 9 例）是最常见的运动障碍，其次是舞蹈症（4 例）、刻板运动（3 例）、肌阵挛-肌张力障碍（2 例）和震颤（1 例）。
结论
运动障碍和局灶性运动性癫痫具有重叠的运动表现。
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