Neurological Surgery No Shinkei Geka Volume 18, Issue 7 (July 1990)

Seizures Induced by Movement Masanori KABUTO 1 , Minoru HAYASHI 1 , Toshihiko KUBOTA 1 , Hidenori KOBAYASHI 1 , Yoshiyuki NOGUCHI 1 , Takao NAKAGAWA 1 , Tetsuya KUBOTA 1 1Department of Neurosurgery, Fukui Medical School Keyword: Seizure , Movement disorder , Carbamazepine pp.669-674
Published Date 1990/7/10
  • Abstract
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Three cases with seizures induced by movement are presented. These patients were a 29-year-old man, a 15-year-old girl and a 15-year-old boy respectively. In each case, the onset began at the age of thirteen. The follow-ing characteristics were observed in all cases. The attacks were precipitated by sudden initiation of volun-tary movement after rest. The attacks were brought on, for instance, by running quickly from a standing posi-tion, and were characterized by tonic spasm or choreoathetotic movement of unilateral extremities. They lasted only 5- 10 seconds, without loss of con-sciousness and occurred up to ten times daily. Between the attacks there were no abnormalities. Neurological examination and laboratory findings were all negative. EEG at rest showed normal findings in two cases and abnormality in one case. Cerebral angiograms did not show any abnormalities in any of the cases. On CT scans and MRI, mild dilatation of lateral ventricles was observed in one case. One of these three cases was familial. Concerning treatment, carbamazepine was the most effective means to inhibit the attacks in all threecases.

Seizures induced by movement may suggest moyamoya disease to neurosurgeons who are not fami-liar with this disease, so it is important to be able to re-cognize this disease when it is encountered.

Copyright © 1990, Igaku-Shoin Ltd. All rights reserved.


Neurological Surgery 脳神経外科
18巻7号 (1990年7月)
電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院