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KMID : 0861220080100010052
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Journal of the Korean Society Clinical Neurophysiology
2008 Volume.10 No. 1 p.52 ~ p.57
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A Case of Nocturnal Paroxysmal Dystonia; Frontal Lobe Epilepsy and Parasomnias (FLEP) Scale, Polysomnography and Subtraction of Ictal-interictal SPECT Coregistered with MRI (SISCOM) Findings
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Kim Woo-Jun
Lee Kwang-Soo
Kim Yeong-In
Kim Joong-Seok
Yoon Bo-Ra
Oh Yoon-Sang
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Abstract
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Even though the origin and nature of nocturnal paroxysmal dystonia (NPD) remains unclear, it has been considered as a manifestation of the nocturnal frontal lobe epilepsy. We report a 17-year-old man with abnormal stereotyped movement during sleep. Video-EEG monitoring, ictal SPECT and night polysomnography did not show any evidence of epilepsy. However, the partial response to large dose of carbamazepine and the scoring according to the frontal lobe epilepsy and parasomnias (FLEP) scale suggest his events could be classified as epilepsy. Therefore we think the FLEP scale might be a useful tool for differential diagnosis in a patient presenting NPD.
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KEYWORD
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Nocturnal Paroxysmal Dystonia, Nocturnal frontal epilepsy, Electroencephalography (EEG), subtraction ictal SPECT coregistered with MRI (SISCOM), Frontal lobe epilepsy and parasomnias (FLEP) scale
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