Please use this identifier to cite or link to this item: https://doi.org/10.1016/j.parkreldis.2004.04.010
Title: Generalised myoclonus evolving into epilepsia partialis continua due to a cingulate gyrus lesion: Case report and review of the literature
Authors: Lim, E.C.H. 
Tan, J.J.H.
Ong, B.K.C. 
Wilder-Smith, E.P.V. 
Keywords: Cingulate gyrus
Epilepsia partialis continua
Myoclonus
Seizure
Venous angioma
Issue Date: Oct-2004
Source: Lim, E.C.H., Tan, J.J.H., Ong, B.K.C., Wilder-Smith, E.P.V. (2004-10). Generalised myoclonus evolving into epilepsia partialis continua due to a cingulate gyrus lesion: Case report and review of the literature. Parkinsonism and Related Disorders 10 (7) : 447-449. ScholarBank@NUS Repository. https://doi.org/10.1016/j.parkreldis.2004.04.010
Abstract: A young Chinese male was admitted for a generalised tonic-clonic seizure preceded by a week-long history of fever. Subsequently, he developed continuous myoclonic jerks in all four limbs, with clear left sided predominance, and no accompanying clouding of consciousness. Contrast MRI of the brain demonstrated a venous angioma in the right cingulate gyrus. Over the next few days, the clinical picture evolved, with focal motor status involving primarily the left lower limb and the abdomen. These movements resolved with anticonvulsant therapy. This case illustrates generalised myoclonus arising from a focal brain abnormality. The epileptiform aetiology became obvious only after evolution into the typical features of a focal motor seizure and supportive neuroimaging. This demonstrates the protean manifestations of epileptic seizures which have been ascribed to the cingulate gyrus. The lack of clear declarative clinical and EEG features highlights the melding of the fields of epileptology and movement disorders. © 2004 Elsevier Ltd. All rights reserved.
Source Title: Parkinsonism and Related Disorders
URI: http://scholarbank.nus.edu.sg/handle/10635/133415
ISSN: 13538020
DOI: 10.1016/j.parkreldis.2004.04.010
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