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Epilepsia Partialis Continua

  • Roongroj Bhidayasiri
  • Daniel Tarsy
Chapter
Part of the Current Clinical Neurology book series (CCNEU)

Abstract

Epilepsia partialis continua (EPC) is a rare form of focal status epilepticus characterized by continuous regular or irregular clonic muscular twitching affecting a limited part of the body, sometimes aggravated by action or sensory stimuli, and occurring for a minimum of 1 h. Neurophysiologically, the diagnosis of EPC requires the demonstration of epileptiform EEG abnormalities, ideally with a fixed temporal association with the muscle jerks. Other abnormalities may include giant somatosensory-evoked potentials which demonstrate the cortical origin of the muscle jerks. EPC has been linked with both motor cortex and adjacent subcortical discharges. EPC may be due to vascular lesions (14%), inflammatory disorders (32%), head trauma (16%), neoplastic disorders (19%), and unknown causes (16%).

Keywords

Motor Cortex Status Epilepticus Head Trauma Sensory Stimulus Rare Form 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

The patient exhibits a train of regular jerks involving the right upper limb which are more prominent in the arm and elbow (Video contribution from Dr. Helen Ling, Chiang Mai University, Thailand).

Epilepsia partialis continua.mp4 (MP4 5,218KB)

References

  1. 1.
    Engel Jr J. A proposed diagnostic scheme for people with epileptic seizures and with epilepsy: report of the ILAE Task Force on classification and terminology. Epilepsia. 2001;42:796–803.PubMedCrossRefGoogle Scholar
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    Cockerell OC, Rothwell J, Thompson PD, et al. Clinical and physiological features of epilepsia partialise continua. Cases ascertained in the UK. Brain. 1996;119:393–407.PubMedCrossRefGoogle Scholar
  3. 3.
    Bien CG, Elger CE. Epilepsia partialis continua: semiology and differential diagnoses. Epileptic Disord. 2008;10:3–7.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Roongroj Bhidayasiri
    • 1
    • 2
  • Daniel Tarsy
    • 3
  1. 1.Chulalongkorn Center of Excellence on Parkinson’s Disease and Related DisordersChulalongkorn University HospitalBangkokThailand
  2. 2.Department of NeurologyDavid Geffen School of Medicine at UCLALos AngelesUSA
  3. 3.Department of NeurologyHarvard Medical School Beth Israel Deaconess Medical CenterBostonUSA

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