Epilepsia partialis continua (Kojewnikow's syndrome): report of one case

We describe a 12-year-old boy with EPC (Epilepsia Partialis Continua) who showed well localized myoclonic jerks in the left toes continuing for more than 19 months. Preceding partial clonic or tonic convulsions of the left leg or body were initially noted. Neurological examination disclosed mild mus...

Full description

Saved in:
Bibliographic Details
Published inZhonghua minguo xiaoerke yixuehui zazhi Vol. 31; no. 4; p. 254
Main Authors Lin, L H, Wang, P J, Lin, M Y, Sue, W C, Shen, Y Z
Format Journal Article
LanguageEnglish
Published China (Republic : 1949- ) 01.07.1990
Subjects
Child
Electroencephalography
Electromyography
Epilepsies, Partial - physiopathology
Humans
Male
Myoclonus - physiopathology
Online AccessGet more information

Cover

More Information
Summary:We describe a 12-year-old boy with EPC (Epilepsia Partialis Continua) who showed well localized myoclonic jerks in the left toes continuing for more than 19 months. Preceding partial clonic or tonic convulsions of the left leg or body were initially noted. Neurological examination disclosed mild muscle weakness of the left leg. During the course, neither mental deterioration nor progressive evolution was noted. Since the EEG revealed well defined midline central spike focus which represent the sensorimotor area of left leg and foot, we postulate that the pathophysiological mechanism of the EPC may be evoked by the focal epileptogenic activation of the motor cortex. EEG-EMG polygraphy proved the well localized myoclonic action potential volleys in the M. extensor hallucis longus of the left great toe. According to the clinical and electrophysiological findings, we classified our case into the group I of Bancaud's definition but failed to find out any demonstrable brain lesion throughout brain CT, MRI and angiography. Neurosurgical intervention is not practical for our case, and medical treatment gave somewhat improvement.
ISSN:0001-6578