Paroxysmal Kinesigenic Dyskinesi a –  a Case Report of a Yo ung Woman with Alternating Hemidystoni a

Authors: H. Krijtová;  P. Marusič
Authors‘ workplace: Neurologická klinika UK 2. LF a FN Motol, Praha
Published in: Cesk Slov Neurol N 2009; 72/105(4): 368-372
Category: Case Report


Paroxysmal kinesigenic dyskinesi a is a ne urological disorder characterized by bri ef episodes of dystoni a and chore athetosis triggered by sudden voluntary movement. The attacks typically last less than one minute and may occur even several times a day. Besides famili ar idi opathic forms with a utosomal dominant inheritance, sporadic cases may occur, or symptomatic forms may be associ ated with some CNS dise ases and may manifest with the same type of paro­xysms. At the beginning we revi ew current knowledge on this disorder, including the historical development of the concept of paroxysmal dyskinesi a. Then we present the case of a yo ung woman who has suffered from sporadic idi opathic paroxysmal kinesigenic dyskinesi a since she was 13 ye ars old. Di agnosis was proved during vide o- EEG monitoring and her paroxysms can be characterised as alternating hemidystoni a. She has been successfully tre ated with 300 mg of lamotrigine per day.

Key words:
paroxysmal dyskinesia – alternating hemidystonia


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