Lateralized hyperkinetic motor behavior

Balaji Krishnaiah, Jayant Acharya, Aiesha Ahmed

Research output: Contribution to journalReview article

Abstract

Seizures are followed by a post-ictal period, which is characterized by usual slowing of brain activity. This case report describes a 68-year old woman who presented with right-sided rhythmic, non-voluntary, semi-purposeful motor behavior that started 2 days after an episode of generalized seizure. Her initial electroencephalogram (EEG) showed beta activity with no evidence of epileptiform discharges. Computed tomography scan showed hypodensity in the left parieto-occipital region. Magnetic resonance imaging (MRI) showed restricted diffusion/fluid-attenuated inversion recovery hyperintensities in the left precentral and post-central gyrus. Unilateral compulsive motor behavior during the post-ictal state should be considered, and not confused with partial status epilepticus to avoid unnecessary treatment. Abnormal magnetic resonance imaging (MRI) findings, which are reversible, can help with the diagnostic and therapeutic approach.

Original languageEnglish (US)
Pages (from-to)S131-S134
JournalNeurology India
Volume66
Issue number7
DOIs
Publication statusPublished - Mar 1 2018

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All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology

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