Posttraumatic paroxysmal nocturnal hemidystonia.
The term "nocturnal paroxysmal dystonia" has been used to describe patients who display paroxysmal episodes of dystonic-dyskinetic movements arising during nonrapid eye movement sleep, in particular stages 2-3 (Lugaresi E, Cirignotta F. Hypnogenic paroxysmal dystonia: epileptic seizure or a new syndrome. Sleep 1981;4: 129-138). The pathogenesis of these attacks has remained controversial. We describe a patient with posttraumatic paroxysmal nocturnal hemidystonia. Acetazolamide led to improvement.
Biary
N
N
Department of Clinical Neurosciences, Riyadh Armed Forces Hospital, Saudi Arabia.
Singh
B
B
Bahou
Y
Y
al Deeb
S M
SM
Sharif
H
H
D000086:Acetazolamide / Q000008:administration & dosage; D000293:Adolescent; D002940:Circadian Rhythm / Q000187:drug effects / Q000502:physiology*; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D004421:Dystonia / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology*; D016489:Head Injuries, Closed / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology*; D006429:Hemiplegia / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology*; D006801:Humans; D008297:Male; D017286:Polysomnography / Q000187:drug effects; D011699:Putamen / Q000187:drug effects / Q000293:injuries* / Q000503:physiopathology; D012894:Sleep Stages / Q000187:drug effects / Q000502:physiology; D012893:Sleep Wake Disorders / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology*
D000086:Acetazolamide