Paroxysmal Kinesigenic Dyskinesi a – a Case Report of a Yo ung Woman with Alternating Hemidystoni a

Czech version

Authors: H. Krijtová; P. Marusič
Authors‘ workplace: Neurologická klinika UK 2. LF a FN Motol, Praha
Published in: Cesk Slov Neurol N 2009; 72/105(4): 368-372
Category: Case Report

Overview

Paroxysmal kinesigenic dyskinesi a is a ne urological disorder characterized by bri ef episodes of dystoni a and chore athetosis triggered by sudden voluntary movement. The attacks typically last less than one minute and may occur even several times a day. Besides famili ar idi opathic forms with a utosomal dominant inheritance, sporadic cases may occur, or symptomatic forms may be associ ated with some CNS dise ases and may manifest with the same type of paroxysms. At the beginning we revi ew current knowledge on this disorder, including the historical development of the concept of paroxysmal dyskinesi a. Then we present the case of a yo ung woman who has suffered from sporadic idi opathic paroxysmal kinesigenic dyskinesi a since she was 13 ye ars old. Di agnosis was proved during vide o- EEG monitoring and her paroxysms can be characterised as alternating hemidystoni a. She has been successfully tre ated with 300 mg of lamotrigine per day.

Key words:
paroxysmal dyskinesia – alternating hemidystonia

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