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

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Research article

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