[Acute anterior bi-opercular syndrome of critical origin in epilepsy with rolandic spikes].
We report the fifth case of a palsy of the lips, the tongue and the pharynx corresponding to an acute pseudo-bulbar syndrome causing speech arrest, and hyper-sialorrhea. The clinical examination and the electroencephalograms showed a partial motor status with spikes discharges in the two central regions, in a 10-year old boy known to have epilepsy with rolandic spikes. The status epilepticus ceased with phenytoin therapy. Although epilepsy with rolandic spikes is a benign one without any cerebral lesion, a partial motor status epilepticus is possible and does not change prognosis.
Septien
L
L
Service de Neurologie, CHU Dijon.
Gras
P
P
Giroud
M
M
Dumas
R
R
D001927:Brain Diseases / Q000150:complications / Q000175:diagnosis; D002648:Child; D004569:Electroencephalography; D017029:Epilepsy, Complex Partial / Q000150:complications*; D006801:Humans; D008297:Male; D010243:Paralysis / Q000209:etiology*; D010507:Periodicity; D012798:Sialorrhea / Q000209:etiology*; D013064:Speech Disorders / Q000209:etiology*; D013577:Syndrome
Syndrome bi-operculaire antérieur aigu d'origine critique dans l'épilepsie à paroxysmes rolandiques.