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Caso electroencefalográfico: epilepsia do lobo frontal
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Autores
Orientador(es)
Resumo(s)
Paroxysmal motor disorders during sleep in children are a
diagnostic challenge, and careful anamnesis, direct observation
of the nocturnal episodes, preferentially with concomitant video-
EEG recording, are essential for correct diagnosis and adequate
treatment.
We present the case of an 11 year-old-boy with frequent,
predominantly nocturnal episodes, initially interpreted as generalized
seizures, with no response to sodium valproate. Video-EEG
during sleep showed a seizure characterized by asymmetric tonic
posturing of upper limbs followed by left lower limb cycling movements,
with right hemispheric epileptiform discharges at onset
of the episodes. The patient had a concussion three years
earlier, and brain MRI was normal. Video-EEG findings supported
replacement of anticonvulsant drug to oxcarbazepine, which
resulted in complete remission of seizures.
Seizure semiology and etiology of this particular case of
nocturnal frontal lobe epilepsy are discussed.
Descrição
Palavras-chave
electroencephalogram video-EEG nocturnal frontal lobe epilepsy post-traumatic epilepsy
Contexto Educativo
Citação
Nascer e Crescer 2011; 20(2): 98-100