Neurophysiopathology and Movement Disorders Clinic, University of Messina, Messina, Italy.
Regional Epilepsy Center, University of Messina, Messina, Italy.
Eur J Neurol. 2024 Sep;31(9):e16348. doi: 10.1111/ene.16348. Epub 2024 Jul 10.
'Dancing-like' semiology is extremely rare and described in few case reports. It is characterized by rhythmic, oscillatory movements of the pelvis and/or limbs during which the subject appears to be dancing. It has been associated with both the frontal and temporal epileptic zone; however, the possible network involved in these fascinating seizures is unclear.
The case of a 45-year-old woman suffering from drug-resistant focal epilepsy with multi-day seizures of bizarre semiology is described. A structural and perfusion magnetic resonance imaging study (interictal and peri-ictal) and video-electroencephalograms were carried out, and several home videos were employed. A vagal stimulator was implanted.
Home videos documented the 'dancing' semiology of seizures better than video- electroencephalogram recordings. The imaging study revealed a focal frontal polymicrogyria with a peri-ictal cerebral blood flow increase at the perisylvian lesion foci. The combination of add-on cenobamate and vagal nerve stimulation resulted in complete seizure freedom.
The unusual and complex dancing-like semiology observed during our patient's seizures adds to the repertoire of fascinating complex motor manifestations of frontal lobe epilepsy.
“舞蹈样” 症候学极为罕见，仅在少数病例报告中描述。其特征为骨盆和/或四肢有节奏、振荡性运动，患者似乎在跳舞。它与额颞叶癫痫区有关；然而，这些引人入胜的癫痫发作中涉及的可能网络尚不清楚。
描述了一名 45 岁女性的病例，该女性患有耐药性局灶性癫痫，伴有多日奇异症候学发作。进行了结构和灌注磁共振成像研究（发作间期和发作期）以及视频脑电图检查，并使用了多个家庭视频。植入了迷走神经刺激器。
家庭视频比视频脑电图记录更好地记录了发作时的“舞蹈”症候学。影像学研究显示，额部多微脑回畸形，在侧脑室病变部位有发作期脑血流增加。加用cenobamate 和迷走神经刺激的组合导致完全无癫痫发作。
我们患者的发作中观察到的异常和复杂的舞蹈样症候学增加了额叶癫痫迷人的复杂运动表现的剧目。
