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Japanese

SEIZURES INDUCED BY SUDDEN VOLUNTARY MOVEMENT Toshio KIMURA 1 , Yoshio KANEDA 1 , Yasuhiro MORI 1 1Prefectural Tomobe Mental Hospital pp.21-26
Published Date 1967/1/1
DOI https://doi.org/10.11477/mf.1406202157
  • Abstract
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Nine patients were found in one genealogical lineage, who had peculiar seizures induced by sudden voluntary movement of the leg after a period of rest, especially when they began to stand up or walk. Unilateral tonic spasm begins from fingers to arm after numb sensation, accompanying in three patients involuntary flapping movements, and the leg of the same side becomes tonic in seven patients. Speech becomes difficult or impossible, though there is no disturbances of con-sciousness. The attacks are always unilateral and mainly right sided. The duration of them is a few seconds mainly and less than thirty seconds, their occurance being a few times a month to several times a day. The attacks begin in the age between eight to fifteen and one old man of this family has seen the disappearance of them in his forties. According to the test of the central nervous system or elswhere, abnor-mal findings were not found and serum electrorites were normal. EEGs in five patients : Four showed normal record at rest and the other showed the irre-gular activity composing of alpha-, beta-, and theta-waves. In three cases spikes or spike & wavecomplexes were provoked by the activation of over-breathing or metrazol injection, among whom two showed grand mal seizure. EEG corresponding to the attacks des-cribed above was not gotten.

Diphenylhydantoin and phenobarbital are effective and the attacks have been greatly reduced or abolish-ed.


Copyright © 1967, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

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