Prolonged ictal monoparesis with parietal Periodic Lateralised Epileptiform Discharges (PLEDs)

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• 作者：Takashi Murahara (1567)
  Masako Kinoshita (1567) (2567)
  Kiyohide Usami (1567)
  Masashi Matsui (3567)
  Kouhei Yamashita (3567)
  Ryosuke Takahashi (1567)
  Akio Ikeda (1567) (4567)
  
• 关键词：inhibitory motor seizure ; PLEDs ; EEG
• 刊名：Epileptic Disorders
• 出版年：2013
• 出版时间：June 2013
• 年：2013
• 卷：15
• 期：2
• 页码：197-202
• 全文大小：1221KB
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• 作者单位：Takashi Murahara (1567)
  Masako Kinoshita (1567) (2567)
  Kiyohide Usami (1567)
  Masashi Matsui (3567)
  Kouhei Yamashita (3567)
  Ryosuke Takahashi (1567)
  Akio Ikeda (1567) (4567)
  
  1567. Department of Neurology, Graduate School of Medicine, Kyoto University, Sakyoku, Japan
  2567. Department of Neurology, Utano National Hospital, National Hospital Organization, Ukyoku, Japan
  3567. Department of Hematology and Oncology, Graduate School of Medicine, Kyoto University, Sakyoku, Kyoto, Japan
  4567. Department of Neurology, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawaharacho, Sakyoku, Kyoto, 606-8507, Japan
  
• ISSN：1950-6945

文摘

We report a patient with prolonged monoparesis and parietal periodic lateralised epileptiform discharges (PLEDs). The patient was a 73-year-old man with chronic myelomonocytic leukaemia who developed persisting monoparesis of the right arm, sensory aphasia, and finger agnosia, initially associated with focal clonic seizures. These neurological deficits remained for seven days without subsequent focal clonic seizures. The EEG showed left-sided PLEDs, maximal in the left occipito-parietal area. Ten days later, following phenytoin treatment, these symptoms suddenly improved and parietal PLEDs disappeared. Sustained PLEDs in the left parietal region may have been causally associated with ictal paresis in this patient.