EPILEPSIA PARTIALIS CONTINUA AND INVOLUNTARY HAND MOVEMENT IN CHILDREN WITH SCHIZENCEPHALY: A CASE REPORT

Received 2020-08-05; Accepted 2021-09-06; Published 2021-10-27

Authors

  • Rahmi Ardhini 1 Department of Neurology, Faculty of Medicine, Diponegoro University/ Dr. Kariadi General Hospital, Semarang Indonesia.
  • Aris Catur Bintoro Department of Neurology, Faculty of Medicine, Diponegoro University/ Dr. Kariadi General Hospital, Semarang Indonesia.
  • Amin Husni Department of Neurology, Faculty of Medicine, Diponegoro University/ Dr. Kariadi General Hospital, Semarang Indonesia.
  • Dodik Tugasworo Department of Neurology, Faculty of Medicine, Diponegoro University/ Dr. Kariadi General Hospital, Semarang Indonesia.
  • Retnaningsih Department of Neurology, Faculty of Medicine, Diponegoro University/ Dr. Kariadi General Hospital, Semarang Indonesia
  • Yovita Andhitara Department of Neurology, Faculty of Medicine, Diponegoro University/ Dr. Kariadi General Hospital, Semarang Indonesia.
  • Aditya Kurnianto Department of Neurology, Faculty of Medicine, Diponegoro University/ Dr. Kariadi General Hospital, Semarang Indonesia.
  • Jethro Budiman Department of Neurology, Faculty of Medicine, Diponegoro University/ Dr. Kariadi General Hospital, Semarang Indonesia.

DOI:

https://doi.org/10.22452/jummec.vol25no1.4

Keywords:

athetosis, epilepsia partialis continua, schizencephaly

Abstract

Introduction: Schizencephaly is a rare congenital malformation of cerebral cortical development. Epilepsia partialis continua and movement disorders often display abnormal movements with overlapping phenomenology in schizencephaly. Case report: A 6-year-old-girl with normal prenatal and labor history, presented with continuous left hand movement since 1-year-old. Neurological examination showed left spastic hemiparesis. Electroencephalography (EEG) showed sharp and spike wave in right temporoparietooccipital, frontocentrotemporal and centroparietal region. Cerebral magnetic resonance imaging (MRI) showed a cleft in right frontal lobe extending to the right lateral ventricle classified as open-lip schizencephaly, and an agenesis of septum pellucidum leads to monoventricular features, and polymicrogyria. She was treated with valproic acid, haloperidol, and regular physiotherapy. Conclusion: This patient was diagnosed with schizencephaly from the anamnesis, physical examination, EEG, and cerebral MRI. The therapy of this patient was pharmacological treatment and physiotherapy.

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Published

2022-01-20

Issue

Vol. 25 No. 1 (2022)

Section

Research article

License

All authors agree that the article, if editorially accepted for publication, shall be licensed under the Creative Commons Attribution License 4.0 to allow others to freely access, copy and use research provided the author is correctly attributed, unless otherwise stated. All articles are available online without charge or other barriers to access. However, anyone wishing to reproduce large quantities of an article (250+) should inform the publisher. Any opinion expressed in the articles are those of the authors and do not reflect that of the University of Malaya, 50603 Kuala Lumpur, Malaysia. 

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