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  Paroxysmal Dyskinesia: Report of Four Cases [Turk J Neurol]
Turk J Neurol. 2001; 7(1): 101-108

Paroxysmal Dyskinesia: Report of Four Cases

Funda UYSAL TAN1, Hatice BALABAN2, Sedat ULKATAN1, Cenk AKBOSTANCI3
1Karadeniz Teknik Üniversitesi (KTÜ) Tıp Fakültesi, Nöroloji Anabilim Dalı
2Ankara Sevgi Millennium Hastanesi, Nöroloji Bölümü
3Ankara Üniversitesi Tıp Fakültesi, Nöroloji Anabilim Dalı

Paroxysmal dyskinesias are heterogenous group of disorders characterised by suddenabnormal involuntary movements. We like to present 3 cases of idiopathic and 1 case of secondary paroxysmal dyskinesia to emphasize the disorder and dramatic response to low dose anti-epileptics. In patients 1 and 4 movements limited to one side of the body and precipitated by motion were considered as "paroxysmal kinesigenic dyskinesiawith short-lasting attacks". The etiology of paroxysmal kinesigenic dyskinesia was multiple sclerosis in patient 3. Magnetic resonance imaging (MRI) revealedhyperintense, demyelinating plaques in cervical and upper thoracal spinal cord. Finally, in patient 2 dystonic movements of the hand and feet was present during sleep. The disorder was accepted as "paroxysmal hypnogenic dyskinesia" as the patient was conscious during the attack, clinical discordance to epileptic seizure types and normalelectroencephalogram. All the patients well responded to low dose carbamazepine treatment.

Keywords: Paroxysmal dyskinesia, etiology, treatment.


Funda UYSAL TAN, Hatice BALABAN, Sedat ULKATAN, Cenk AKBOSTANCI. Paroxysmal Dyskinesia: Report of Four Cases. Turk J Neurol. 2001; 7(1): 101-108

Corresponding Author: Funda UYSAL TAN


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