JLE

Epileptic Disorders

MENU

Epilepsia partialis continua triggered by traumatic hand injury: a peripheral tuning of brain excitability? Volume 18, numéro 1, March 2016

TEST YOURSELF

(1) A 27-year-old woman presented with continuous myoclonic movements of the right upper extremity for 10 days, following injury with a kitchen knife. Myoclonus involved fingers, hand and arm and persisted during sleep. There is no history of epilepsy and neurological examination is otherwise unremarkable. MRI and EEG are both normal. Which of the following is the most likely syndromic/symptomatic diagnosis?
A. Conversive disorder
B. Subcortical myoclonus
C. Rasmussen’s encephalitis
D. Epilepsia partialis continua
E. Post-traumatic peripheral nerve injury


(2) Which of the following statements about epilepsia partialis continua is not true?
A. It is characterized by continuous focal jerking of a body part, usually the hemiface or a limb, lasting hours, days or years
B. Most common aetiologies involve cerebrovascular events, Rasmussen’s encephalitis and focal cortical dysplasia
C. EPC may be the sole manifestation of a silent rolandic lesion, such as focal cortical dysplasia
D. Even with negative EEG, EPC should be suspected in a patient with continuous myoclonic jerks
E. Subcortical lesions often give rise to EPC

 

 

 

 

 

 

See answers

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Answers

(1) D.

(2) E.

 

 

 

 

Back to questions