Spinal algetic-tonic seizures manifesting as paroxysmal "positive" Brown-Séquard syndrome.
We report on a patient suffering from symptomatic spinal attacks in the form of a paroxysmal "positive" (algetic-tonic) Brown-Séquard syndrome. A cervical cord lesion, presumably inflammatory-demyelinating in origin, was identified as the morphological correlate of these attacks. Their pathogenesis is discussed in the light of similar case reports from the literature. For the first time, this rare type of seizure is published with a video documentation. It may deserve consideration in the differential diagnosis of otherwise unexplained paroxysmal events that present in an "epileptic" manner.
Kirchner
Anne
A
Dept. of Epileptology, University of Boon, Germany.
Poepel
Annkathrin
A
Hantsch
Matthias
M
Urbach
Horst
H
Elger
Christian E
CE
Bien
Christian G
CG
D000328:Adult; D018437:Brown-Sequard Syndrome / Q000175:diagnosis* / Q000503:physiopathology; D002574:Cervical Vertebrae; D003711:Demyelinating Diseases / Q000175:diagnosis; D003937:Diagnosis, Differential; D004421:Dystonia / Q000175:diagnosis* / Q000503:physiopathology; D004829:Epilepsy, Generalized / Q000175:diagnosis* / Q000503:physiopathology; D005500:Follow-Up Studies; D006801:Humans; D008137:Longitudinal Studies; D008279:Magnetic Resonance Imaging; D008297:Male; D014743:Videotape Recording