Epileptic falls and gait disturbance in two young children with a sharp wave focus at the vertex: a variant of benign partial epilepsy of childhood?

Details

Serval ID
serval:BIB_617F82F63981
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Epileptic falls and gait disturbance in two young children with a sharp wave focus at the vertex: a variant of benign partial epilepsy of childhood?
Journal
European Journal of Paediatric Neurology : EJPN
Author(s)
Vischer V.C., Maeder-Ingvar M., Picard F., Dubois C.M., Davidoff V., Deonna T., Haenggeli C.A., Perez E.R.
ISSN
1090-3798
Publication state
Published
Issued date
2002
Peer-reviewed
Oui
Volume
6
Number
3
Pages
169-178
Language
english
Notes
Publication types: Case Reports ; Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't - Publication Status: ppublish
Abstract
We describe two young children who presented with frequent falls and myoclonic jerks affecting the trunk and legs associated with a sharp and slow wave epileptic focus at the vertex. The initial neurological examination and brain magnetic resonance imaging were normal. Both patients had a persistent gait dysfunction, sometimes asymmetrical, fluctuating with the intensity of the epilepsy and the electroencephalogram abnormalities. The localization of the epileptic focus at the vertex, corresponding to the motor control of the legs and trunk, can explain this peculiar semiology. The seizures were difficult to treat, but one patient is currently in remission. Although epileptic falls are most often a feature of severe epilepsies of childhood, we think that these two patients present a variant of benign partial epilepsy of childhood.
Keywords
Child, Child, Preschool, Diagnosis, Differential, Electroencephalography, Epilepsies, Myoclonic/diagnosis, Epilepsies, Myoclonic/physiopathology, Epilepsies, Partial/diagnosis, Epilepsies, Partial/physiopathology, Epilepsy/diagnosis, Epilepsy/physiopathology, Epilepsy, Benign Neonatal/diagnosis, Epilepsy, Benign Neonatal/physiopathology, Follow-Up Studies, Gait/physiology, Humans, Magnetic Resonance Imaging, Male, Neurologic Examination, Time Factors
Pubmed
Create date
25/01/2008 11:26
Last modification date
20/08/2019 15:18
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