Mastroianni G, Neri S, Ascoli M, Gasparini S, Cianci V, Aguglia U, Ferlazzo E
Regional Epilepsy Centre, Great Metropolitan Hospital Bianchi-Melacrino-Morelli, Reggio Calabria, Italy.
Eur Rev Med Pharmacol Sci. 2021 Nov;25(22):6995-6998. doi: 10.26355/eurrev_202111_27247.
Convergence spasm is a clinical condition characterized by transient episodes of convergence, miosis and accommodation with strabismus and diplopia and it is usually a manifestation of a functional neurological disorder. We describe a patient with a challenging diagnosis of convergence spasm in the setting of occipital lobe epilepsy.
A 52-year-old woman came for the assessment of focal epilepsy due to left occipital cortical dysplasia. During ocular motility tests, she presented with episodes of short duration (~10-30 seconds) of convergent strabismus. Neuropsychological evaluation showed a severe mixed anxiety-depressive disorder with a tendency toward somatization.
Convergence spasm was recorded during video-EEG examination and no ictal activity was present.
To our knowledge, no other report of functional convergence spasm in the context of focal epilepsy associated with cortical dysplasia has been described in literature.
集合性痉挛是一种临床病症，其特征为短暂的集合、瞳孔缩小及调节发作，并伴有斜视和复视，通常是功能性神经障碍的一种表现。我们描述了一名在枕叶癫痫背景下诊断具有挑战性的集合性痉挛患者。
一名52岁女性因左侧枕叶皮质发育异常前来评估局灶性癫痫。在眼球运动测试期间，她出现了持续时间较短（约10 - 30秒）的集合性斜视发作。神经心理学评估显示存在严重的混合性焦虑 - 抑郁障碍且有躯体化倾向。
在视频脑电图检查期间记录到集合性痉挛，且未出现发作期活动。
据我们所知，文献中尚未描述过与皮质发育异常相关的局灶性癫痫背景下功能性集合性痉挛的其他报告。
