[야간발작성근육긴장이상 1예; 전두엽간질 및 사건수면척도, 수면다원검사, 발작기 및 발작간기 감산 SPECT 소견
A Case of Nocturnal Paroxysmal Dystonia; Frontal Lobe Epilepsy and Parasomnias (FLEP) Scale, Polysomnography and Subtraction of Ictal-interictal SPECT Coregistered with MRI (SISCOM) Findings
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Even though the origin and nature of nocturnal paroxysmal dystonia (NPD) remains unclear, it has been considered as a manifestation of the nocturnal frontal lobe epilepsy. We report a 17-year-old man with abnormal stereotyped movement during sleep. Video-EEG monitoring, ictal SPECT and night polysomnography did not show any evidence of epilepsy. However, the partial response to large dose of carbamazepine and the scoring according to the frontal lobe epilepsy and parasomnias (FLEP) scale suggest his events could be classified as epilepsy. Therefore we think the FLEP scale might be a useful tool for differential diagnosis in a patient presenting NPD.
Abstract
Even though the origin and nature of nocturnal paroxysmal dystonia (NPD) remains unclear, it has been considered as a manifestation of the nocturnal frontal lobe epilepsy. We report a 17-year-old man with abnormal stereotyped movement during sleep. Video-EEG monitoring, ictal SPECT and night polysomnography did not show any evidence of epilepsy. However, the partial response to large dose of carbamazepine and the scoring according to the frontal lobe epilepsy and parasomnias (FLEP) scale suggest his events could be classified as epilepsy. Therefore we think the FLEP scale might be a useful tool for differential diagnosis in a patient presenting NPD.
참고문헌 (10)
- Seo WK, "Acase of nocturnal paroxysmal dystonia", Korean Neurol Assoc, 19, pp.305~308 (2001)
- Lugaresi E, "Nocturnal paroxysmaldystonia", Neurol Neurosurg Psychiatry, 49, pp.375~380 (1986)
- Provini F, "Nocturnal frontal lobe epilepsy. A clinical andpolygraphic overview of 100 consecutive cases", Brain, 122, pp.1017~1031 (1999)
- Shin WC, "Ictal hyperperfusionpatterns according to the progression of temporal lobe seizures", Neurology, 58, pp.373~380 (2002)
- O’Brien TJ, "Subtraction ictal SPECT co-registered toMRI improves clinical usefulness of SPECT in localizing thesurgical seizure focus", Neurology, 50, pp.445~454 (1998)
- Newton MR, "Dystonia, clinical lateralization and regionalblood flow changes in temporal lobe seizures", Neurology, 42, pp.371~377 (1992)
- Mizobuchi M, "Putaminal hyperperfusion in dystonic posturing on subtractedSPECT: a case report", Ann Nucl Med, 15, pp.255~257 (2001)
- Schindler K, "Hyperperfusion of anterior cingulate gyrus in a caseof paroxysmal nocturnal dystonia", Neurology, 57, pp.917~920 (2001)
- O’Brien TJ, "Subtraction peri-ictal SPECT is predictiveof extratemporal epilepsy surgery outcome", Neurology, 55, pp.1668~1677 (2000)
- Derry CP, "Distinguishing sleep disorders from seizures; Diagnosingbumps in the night", Arch Neurol, 63, pp.705~709 (2006)